Message from the Executive Chair
Transcription
Message from the Executive Chair
INSIDE TTH Message from the Executive Chair Welcome to the Michaelmas 2010 edition of the Science in Society Review. As usual, the articles in this edition span the range of scientific disciplines, but have in common a focus on the interactions between science and society. As a society, we believe that these interactions are incredibly important, and also incredibly interesting. STAFF AT CAMBRIDGE EXECUTIVE BOARD Chair: Francesca Day (St. Catharine’s) Founding President, Executive Vice President: James Shepherd (Caius) Executive Vice President: Hannah Price (Queens’) Junior Treasurer: Claire Drurey (Corpus Christi) Division leaders also sit on the Executive Board Last academic year saw The Triple Helix promote a number of exciting topics within science and society, not only in our journal, but also through panel debates, outreach workshops and Cafe Scientifique. The issues covered ranged from an animated debate on the use of GM food in the developing world, to a Science Festival Schools’ Masterclass exploring human space exploration. As scientific research progresses and society develops, new challenges in science and society present themselves. Over the coming year, we will continue to explore these, for example in our upcoming panel debate on the potential current and future problems caused by overpopulation. In February, we will meet with Triple Helix Chapters from around the world in our Annual Meeting at the AAAS conference. We hope that the new academic year will see many new additions to the Triple Helix team! Best wishes, Francesca Day Executive Chair, The Triple Helix, University of Cambridge AAAS Annual Meeting 2011 Editor-in-Chief: Kate Wiles (Trinity) Managing Editor: Adam Esmail (Fitzwilliam) Associate Editors: Andrew Lawson (Emmanuel) Graduate Reviewers: Jillian Sullivan (Girton), Mico Tatalovic (Christ’s) OUTREACH Head of Outreach: Franscesca Day (St. Catherine’s), Outreach Team: James Kennedy (Fitzwilliam), Dolly Chen (Sidney Sussex), Andrew Lawson (Emmanuel), Samantha Simic (Queens’), Janice Park (Christ’s) EVENTS Events Director: Tara Finegan (Jesus) Publicity Officer: Junko Takata (Downing) Events Co-ordinators: Jingwei Sim (Caius), Charles Parker (Caius), Nisha Nesaratnam (St. Catharine’s), Cai Na (Caius), Germaine Liu (Magdalene), James Kennedy (Fitzwilliam), Colin Stoneking (Emmanuel) PRODUCTION The Triple Helix will be participating in the American Association for the Advancement of Science (AAAS) Annual Meeting in Washington DC from February 18th – 20th 2011. The conference will include a Science in Society poster competition and workshops on writing, editing and science policy, as well as the main conference lectures and seminars. This is a fantastic opportunity to showcase your work at the world’s largest scientific conference, meet TTH members from around the world as part of the Cambridge delegation, and develop your skills in poster production and presentation with support from the Cambridge TTH committee. Previous Cambridge attendees have agreed that the conference is an amazing experience, combining excellent personal opportunities with the chance to attend talks by internationally leading scientists and policy-makers. If you are interested in presenting a poster, please send a short abstract to [email protected] by 10th October. Posters can review any aspect of science in society, and submission from either individuals or groups are welcome. There will be a meeting for anyone who might be interested at 3pm on Saturday 9th October at Grad’s Cafe in the University Centre. This is an opportunity not to be missed! Senior Production Editor: Jenny Crowhurst (Downing) Managing Production Editor: Adam Esmail (Fitzwilliam) Production Editors: Colin Stoneking (Emmanuel) ACADEMIC ADVISORY BOARD SENIOR REVIEWERS Dr David Summers Prof Peter Littlewood Dr Edward Tanner Dr Peter Wothers Dr Andrew Bell (Senior Treasurer) Dr Bob Butcher Dr Alex Piotrowski Dr Richard Hayward Dr Jeff Dalley Dr Anna Goodman Dr Bertie Göttgens Dr Jim Haseloff 2 THE TRIPLE HELIX Michaelmas 2010 Prof Christopher Howe Dr Katrin Ottersbach Dr Martyn Symmons Prof Alan Warren © 2010, The Triple Helix, Inc. All rights reserved. © Charles Parker LITERARY TEAM INSIDE TTH Message from the CEO Dear Reader, The Triple Helix is a completely unique organization, created and run entirely by undergraduates devoted to creating a global forum for science in society. What at first appears a focused interest is actually an eclectic vision that ventures to present ideas from students studying medicine, law, math and so much more. With more than 20 chapters across the world and more than 1,000 students from a wide range of disciplines, The Triple Helix offers a truly unique presentation of academic passion. Before you look through The Science in Society Review issue awaiting you, I hope to share with you my insight into the level of work behind every word. Each piece represents not only the work of the writer, but also the work of one-on-one associate editors, a highly effective editorial board, astute international senior literary editors, an impressive faculty review board, and an imaginative production staff that reinvents the journal every issue. As we enter the next cycle, I hope to witness the next surge of interest and passion from every member as we strive to achieve the dreams we have always had for the organization. We invite you as readers and supporters to come forward and develop new visions that will push us to the next level. Sincerely, Bharat Kilaru, CEO, The Triple Helix, Inc. Triple Helix Events, Michaelmas 2010 Too many people, not enough planet? - Sponsored by the Development Studies Association Thursday 14th October - 7.30 - 9.30pm - McCrum Lecture Theatre, Bene’t Street (behind The Eagle) A debate on the problems of, and solutions to, overpopulation. The panel to include: • Fred Pearce - Author and Journalist, Environmental Consultant for New Scientist • John Guillebaud - Emeritus Professor of Family Planning and Reproductive Health at UCL, Patron of the Optimum Population Trust • Ludi Simpson - Professor of Population Studies at the University of Manchester, Cathie Marsh Centre for Census and Survey Research • Frances Hill (Chair) - Executive Director, Development Studies Association The Battle of the Scientists - Sponsored by the Royal Society of Chemistry Thursday 28th October - 7.30 - 9.30pm - McCrum Lecture Theatre, Bene’t Street (behind The Eagle) Which science, if any, will come out on top? The panel to include: • Peter Wothers - Teaching Fellow, Dept. of Chemistry, University of Cambridge • Chris Ponting - MRC Functional Genomics Unit, University of Oxford • Hasok Chang - Dept. of History and Philosophy of Science, University of Cambridge • Professor John Ockendon - Dept. of Mathematics, University of Oxford Googling your Genes - Sponsored by the Company of Biologists November - Date and Venue TBC Risk Perception Late November - Date and Venue TBC For further details and updates visit www.camtriplehelix.com or e-mail [email protected]. Keep a look out for our posters too! © 2010, The Triple Helix, Inc. All rights reserved. THE TRIPLE HELIX Michaelmas 2010 3 CAMBRIDGE EDITORIALS The Triple Helix Interaction: University-Industry-Government Relations Claire Drurey I nnovation in science is increasingly dependant upon the interaction between the government, industry and academia, represented by the universities. This interaction, labeled “the Triple Helix,” has developed as a fluid exchange of ideas and technologies, with fewer barriers between academia and industry for information flow [1]. This is aided by government initiatives that encourage the involvement of universities in technology transfer. In the UK, this includes Knowledge Transfer Partnerships and Knowledge Transfer Networks, which provide financial In the past, industry has been regarded as somewhat taboo social development [5]. An example of this is Solexa. It was set up by Professor David Klenerman and Professor Shankar Balasubramanian of Cambridge University in the late 90s to develop Solexa sequencing, a new way of sequencing DNA that was several orders of magnitude faster than any other technology available at the time. The company was built over a period of about ten years, in which time both founders continued working in academia at Cambridge University. The University supported the venture and thus became a small shareholder in the company, becoming a prime example of the way in which universities can foster innovation in science and technology. In the current economic climate, with decreasing monetary support from the government, it could be advantageous to try to increase funding from industry. This is a difficult area, as many funding schemes from industry only cover short periods of time and are allocated toward very specific areas of research [6]. Industries may frown upon the changes in research direction that so often happen within the lab. The withholding of data until a patent can be achieved is also an issue in many collaborations between industry and academia [6]. However, patents have only been found to be 10% of all knowledge transfer activities between universities and industry – much can be gained besides them alone [7]. The advantages that come from access to new ideas, knowledge and potential future researchers are often perceived as much greater than patents. In the future, academia and industry may become even more tightly interwoven as companies recognise the academic capacity to generate and exploit intellectual property rights by coming up with new ideas that may be profitable. Policies supported by the government that initiate the move towards researchers that are also involved in companies, or set up their own alongside academic work, may provide a chance to make the world of academics more self-sufficient, leading to a more innovative future. Bi-directional knowledge flow, if supported, could be advantageous both for those in the lab and in the boardroom. support for collaborative projects encouraging research, technology transfer and the commercial exploitation of science and technology [2]. The Royal Society itself offers an Industry Fellowships scheme. It seems that, since the founding of modern biotechnology in the early 1980s, industry has been regarded as somewhat taboo by the academic world, which steers away from capitalists only interested in gaining a profit. The news that large pharmaceutical companies spend more money on advertising than research and development do nothing to alleviate this image [3]. However, there are examples to the contrary: Amgen, a large American pharmaceutical company, actually loses money with its drug Nplate (Romiplostin), as it was formulated to treat thrombocytopenia (a lack of blood platelets) in patients with chronic immune (idiopathic) thrombocytopenic purpura (ITP), a rare disease with an incidence of about 5 in 100,000 children [4]. Profits made from drugs that can be more widely used, such as anti-cancer medications, are ploughed back into the development of drugs such as this that can make a huge difference to people’s lives but are not needed in vast quantities. Universities are increasingly becoming closer to industry by providing a “natural incubator” for the development of new companies [5]. This allows the university to fulfil a third mission outside of teaching and research – economic and Claire Drurey is a third year student studying Biological Natural Sciences at Corpus Christi College. She is currently the Junior Treasurer of The Triple Helix, Cambridge. References: 1. Etzkowitz, H. The Triple Helix of University - Industry – Government Implications for Policy and Evaluation. Science Policy Institute Working Paper, 2002-2011. Available from: http://www.sister.nu/pdf/wp_11.pdf 2. Abramovsky L, Harrison R and Simpson H. Increasing innovative activity in the UK? Where now for government support for innovation and technology transfer? Institute for Fiscal Studies briefing notes Nov 2004. Available from: http://eprints. ucl.ac.uk/14740/1/14740.pdf 3. “Big Pharma Spends More On Advertising Than Research And Development, Study Finds” Science Daily [online] 2008 Jan 7 [cited 2010 Sept], available from: http:// www.sciencedaily.com/releases/2008/01/080105140107.htm 4. “Amgen Recognized for Best Pipeline and Best New Drug at Scrip Awards”, CheckOrphan Treatment News [online], 2009 Nov 30,[cited 2010 Sept], available from: http://www.checkorphan.org/grid/news/treatment/amgen-recognized-forbest-pipeline-and-best-new-drug-at-scrip-awards 5. Etzkowitz, H. Incubation of incubators: innovation as a triple helix of university– industry–government Networks. Science and Public Policy, 2002 April; 29(2):115– 128. 6. Blumenthal D, Causino N, Campbell E and Seashore Louis K. Relationships between Academic Institutions and Industry in the Life Sciences — An Industry Survey. N Engl J Med, 1996 Feb; 334:368-374. 7. D’Este, P and Patel, P. University–industry linkages in the UK: What are the factors underlying the variety of interactions with industry? Research Policy, 2007 Nov; 36(9):1295-1313 4 THE TRIPLE HELIX Easter 2010 © 2010, The Triple Helix, Inc. All rights reserved. CMU Evolving Interaction in Robots Andrew Sheng T he web of life forms a symphony of interaction and communication. Consider all the interactions a creature will perform and undergo throughout its life. A simple glance around one’s surrounding yields many examples of such activities – a human speaks a string of words, a bee performs a complicated dance, a dog urinates onto a hapless bystander’s leg. All of these actions carry an intention to convey some sort of message to others – EXAM TERRIFYING, FOOD THERE, MY TERRITORY. Entire academic fields, such as sociology, dedicate themselves to analyzing these behaviors. The means by which such interactions may have arisen during the emergence and evolution of life remain one of the mysteries of the modern world. This paucity of knowledge arises from the problem that experiments regarding emergent behavior are extraordinarily difficult to conduct due to the lack of simple sample organisms for experiments. Case studies with individual microorganisms would be difficult to analyze and control. On the other hand, higher organisms tend to have generative cycles on the magnitude of months, years, decades – experiments with thousands of generations would require an extremely dedicated multigenerational research team. Furthermore, the distant past offers little helpful information – social structures are not easily fossilized. Given the lack of a suitable sample population, one faces the question: Is the quest for the origins of social interaction a limited one restricted to the analysis of the behavior of contemporary lifeforms? Does the lack of a suitable medium render the simulation of communication evolution an impossibility? Unfortunately, the natural world does not seem to yield any optimal organisms. There exist few creatures quick to reproduce, simple to observe, easy to mutate, and, perhaps most importantly, free of preexisting behaviors hardcoded by genetics [1]. But, on a brighter note, when one considers models from fields other than biology, there does indeed exist The robots could inform their companions of food and poison such an “organism” - a software algorithm! An algorithm is merely a set of easily replicable instructions; it also lacks the evolutionary baggage of billions of years of history. When placed into the body of a robot, the algorithm may play out the behavior coded by its instructions. Although the replication of digital information is trivial (much to the despair of anti-piracy groups), the simulation of the process of biological evolution is a much more difficult matter. Unlike a cell, which can often survive a malformed protein or damaged DNA, a computer program can be easily destroyed by the introduction of even a single error. As a result, the mutable gene must not be the program itself, 8 THE TRIPLE HELIX Michaelmas 2010 but instead some outside information that is interpreted by the program. One implementation of this concept is a model called a “neural network.” In a neural network, a program makes use of an amount of premade data as a blueprint (or gene) for the construction of a field of simulated neurons. Each simulated neuron is governed by two factors: connections to other neurons and some rudimentary calculative ability (such as determining whether the sum of a set of numbers is above or below some given threshold). The network is “run” by inputting data into some neurons. These neurons proceed to process the data and then output it to their neighbors, each “layer” of neurons making use of their internal instructions to interpret the data. To gather output, data is extracted from the output of several select neurons. Since the topology and properties of the network are entirely determined by its “genes”, which exist independent of the host program, a neural network may be transmogrified via modifications to its blueprint. This mechanism allows the simulation of natural selection (and by extension, evolution) via the random and/or selective mutation and breeding of neural networks [2]. In sum, a robot serves as a simulation of a primitive organism. One such population of organisms resides in Switzerland, where flashing blue robots fight over glowing red floor tiles [1,3]. In an attempt to simulate the emergence of communication, researchers at the Ecole Polytechnique Federale de Lausanne have constructed a field with two small zones – one marked as “food,” the other marked as “poison,” both identical unless observed from a close distance. A population of small robots equipped with cameras and lights formed the denizens of this field. Each robot was guided by two factors: internal neural networks and an overarching rule of “food good, poison bad” [1]. The research began with the robots randomly flashing their lights – none of them could “understand” the speech of any other, only the local presence of food and poison. They were then left to wander randomly, eventually discovering food by the sheer mechanism of trial and error. The simulation would finish after a preset amount of time. Afterwards, the researchers ranked the robots by their success at collecting food and avoiding poison. The “genes” of those robots best at collecting food were then mixed together (in an approximation of mating) and randomly mutated. The new genomes were then replaced into robots in order to continue the simulation further. More than five hundred “generations” of collection and mutation later, the robots (more specifically, the neural networks controlling them) were found to have developed the ability to utilize their cameras and lights so that they could inform their companions of food and poison. Some populations of robots evolved the tactic of flashing their lights when near food (as an invitation), while others leaned toward the tactic of flashing lights when near poison (as a warning). In other words, a group of robots had autonomously developed the ability to communicate – a development © 2010, The Triple Helix, Inc. All rights reserved. CMU The First Step to a Robot Society? Reproduced from [5] made even more curious by the fact that earlier, the robots had been largely unaware of the existence of their fellows [1]. Thus was born the behavior of cooperation in order to take advantage of the strength of numbers – a single robot working alone cannot locate “food” as fast as a group of machines working together as a team. However, the end result is not that of a robotic utopia. One aspect of the playing field was that the food “zone” was too small to support the entire robotic population; the robots would be required to push away others in order to acquire points toward their own placement in the next generation. As a result, the robots did not form a very harmonious society. Instead, some robots would send misleading messages to others in a “selfish” attempt to fool others in order to lure them away from the food. For example, in a population of robots with the “lights-mean-food” protocol, rogues would develop the tendency to cast signals over barren ground or poison in an attempt to fool others in order to increase their own chances of a free food zone. The mutation-based appearance of such rogues would often destroy cooperative groups of robots, as “survivors” would generally evolve to become less inclined to trust the signals of other robots [1]. A later study repeated under similar circumstance with similar robots found the existence of another deceptive behavior – that of withholding useful information from others. In many test “cases,” most robots would often move to the strategy of avoiding using their lights while in the process of collecting food – this would prevent others from noticing anything special about that particular patch of land. However, the researchers found that in no case did the robots completely cease all usage of their lights; instead, even the most xenophobic machines would make some use of light, perhaps due to the fact that the marginal reward for “take-but-don’t-give” is lessened when all robots refuse to share useful information [3]. Therefore, even though the robots fell to selfishly firing each other lies of omission, the robotic society did not completely degenerate into a purely competitive environment. References 1. Floreano, Mitri, Magnenat, Keller. Evolutionary Conditions for the Emergence of Communication in Robots. Curr Biol. 2007; 17:514-519. 2. Nolfi, Parisi. Evolution of Artificial Neural Networks. In: Arbib, editors. Handbook of Brain Theory and Neural Networks. 2nd ed. Cambridge, MA: MIT Press; 2002. p. 418-421. 3. Mitri, Floreano, Keller. The evolution of information suppression in © 2010, The Triple Helix, Inc. All rights reserved. The study is admittedly simplistic. After all, human societies do not quickly degenerate into anarchies upon the appearance of criminals and con artists – there exist mechanisms to punish humans who scream “that’s food” while pointing at cyanide. Furthermore, it is possible that the experiment unfairly promoted the benefits of pure competition over cooperation; the robots could be able to discover a more cooperative strategy in a different environment [4]. The Lausanne study reveals some interesting insights. Social behaviors commonly associated with living organisms are not restricted to life. Instead, it is likely that many behaviors are simply evolutionary responses to various environmental pressures (i.e. a given behavior could have developed as a random, yet beneficial, trait-guided action). Such an action could have thus improved an organism’s fitness enough to pass it on the succeeding generations. In a frontier world, cooperation would help one’s companions gather resources, while in a civilized place, deception could allow one to gain at the expense of others [1]. The fact that blocks of silicon and metal can spontaneously develop the ability to cooperate and cheat helps to bring out the more human question of exactly how many of one’s actions are consciously generated, and how many are solely due to evolutionary psychology. The emergence of the various robotic behaviors suggests that early societies (that is, of microorganisms, probably not humans) could have been highly dynamic, rapidly shifting between cooperative and competitive behaviors (depending on which one would be more useful in a given situation) before settling at some sort of equilibrium [4]. A resident of the primordial ooze would probably have been in a similar situation as the robots; it would have just had a simple predefined set of behaviors, anything else would have been developed later. The results of the study could also provide guidance to those seeking to develop complex systems composed of many independent actors – whether these actors are robots or something else. The sheer variety of different behaviors developed by the robots during their evolution indicates that seemingly simple, decentralized systems may give rise to very complex behavior. Whether this complex behavior is desirable probably varies on the situation at hand. The Lausanne study is just one case in which robotics is being put to use in an unconventional situation to advance the development of the understanding of the development of interactive behavior. Although there still exist significant differences between organisms simulated on silicon and organisms in flesh, it is conceivable that one day such experiments could guide humanity to an understanding of that composition of that symphony of interaction and communication, the web of life. Andrew Sheng is a computer science major in CMU’s class of 2013. He is most likely a member of the species Homo sapiens, however,classifying organisms by morphological features is not always a reliable method of identifying species. communicating robots with conflicting interests. PNAS. 2009; 106:15786-15790. 4. Surfdaddy Orca. Darwin’s Robots [document on the Internet]. h+ Magazine; 2009 [cited 2009 November 5]. Available from: http://hplusmagazine.com/ articles/ai/darwins-robots 5. CC-BY-NC, Jenn and Tony Bot. Available from http://www.flickr.com/photos/ ittybittiesforyou/2275017292/ THE TRIPLE HELIX Michaelmas 2010 9 CAMBRIDGE EDITORIALS YALE The Hobbits Chun Ying Wang A woman, about 35 years old, lies dead in a cave on the Indonesian island of Flores. She is peculiarly small by modern-day standards. Though an adult, she is only three and a half feet tall and has a head about the size of a grapefruit. Her feet, however, are exceptionally long and flat. Each foot measures seven and a half inches or one fifth her total height. The woman lies on a gentle slope, and as the years go by, falling dust from the cave wall covers her entire body. The woman lies buried until a team of Australian and Indonesian scientists uncovers her fragile bones 18,000 years later, in September 2003. Led by Peter Brown of the University of New England and Michael Morwood of the University of Wollongong, the scientists named her LB1 for the Liang Bua cave where she was found [1]. Her short stature and large feet soon earned her the nickname “hobbit,” after the small creatures in J.R.R. Tolkien’s fantasy stories. Scientists are slowly writing their own story for LB1 and the eight other hobbits whose bones have been found on Flores. They have struggled to determine the evolutionary relationship between the hobbits and modern humans. Modern humans, Homo sapiens, evolved in Africa 200,000 years ago from a much older species called Homo erectus [2]. Over the next 150,000 years, H. sapiens migrated out of Africa into Europe and Asia, eventually displacing all other Homo species. The majority of anthropologists now believe that the hobbits, who lived until 12,000 years ago, were exceptions to the H. sapiens takeover [3]. While these anthropologists argue that hobbits and H. sapiens are two different species, a vocal minority maintains that the hobbits were genetically deformed H. sapiens. Critics point out that the last species which had a brain as small as LB1’s became extinct several million years ago [4]. They remain skeptical that an obscure and primitive island The cave where the specimens were discovered. Reproduced from [17] © 2010, The Triple Helix, Inc. All rights reserved. species could have lived as recently as 18,000 years ago. The implications of this debate extend far beyond the hobbits themselves. The hobbits challenge the basic notion that human evolution has been a direct progression towards larger brains and bigger bodies. Instead, “the evolutionary tree is more like a bush,” said Mike Morwood, one of the first to discover LB1’s body on Flores. Anthropologists believe that the hobbits were exceptions to the H. sapiens takeover Scientists have excavated Flores for human fossils as far back as the 1960s. Before Morwood began his research there, anthropologists had only been looking for evidence of modern humans on the island. Surprisingly, their work unearthed animal bones with cut marks and stone tools that were dated to 840,000 years ago [5]. Since anthropologists knew H. sapiens had first reached Australia 50,000 years ago, the findings piqued Morwood’s interest in Flores as a pit stop along H. sapiens’ haphazard, accidental journey from mainland Asia to Australia. Morwood originally wanted to find the individuals who made those 840,000-year-old stone tools, but six meters into the ground, he and his team found LB1 instead. Morwood was immediately struck by the skeleton’s strange dating. Anatomically, she should have been several million years old, but testing showed she was only tens of thousands of years old. Morwood and his collaborators were incredulous at first. “Either the dating was wrong, or there had been some moving around,” said Peter Brown, Morwood’s close colleague and co-author of the original discovery papers. Brown, an expert on hominid skeletons, received hastily taken pictures of LB1 soon after the skeleton’s discovery, but he initially could make little of the small body. “It could have been anything. It could have been an urn with two sticks attached,” he said. However, he was intrigued enough to fly to Indonesia and examine LB1 himself. In Indonesia, he was the first to measure and discover LB1’s small brain capacity [6]. After studying her skeleton for a week, Brown and Morwood determined that LB1 did not belong to H. sapiens. The hobbit’s brain was too small to be a modern human while the rest of her skeleton – jaw, arms, and legs – were more primate-like than human. Describing their discovery in a 2004 issue of Nature, Brown, Morwood, and their co-authors named LB1 Homo floresiensis. H. floresiensis, they said, shared an ancestor with H. sapiens, but was itself a distinct species. The authors argued that THE TRIPLE HELIX Easter 2010 5 YALE Fragments. Reproduced from [18] the hobbits were different from modern humans because they evolved to be smaller and shorter. Their conclusion was contested from the start. Teuku Jacob, a renowned Indonesian anthropologist at Gadjah Mada University, was one of the first to challenge Morwood and Brown’s separate-species theory [7]. Besides disagreeing with Brown and Morwood’s scientific analysis, Jacob also felt that the Australians had unfairly benefited from Indonesia’s fossils [8]. Shortly after the 2004 Nature papers were published, he requisitioned LB1’s bones to his lab at Gadjah Mada University and persuaded the Indonesian government to temporarily halt further excavation on Flores [6]. Teuku Jacob was convinced from studying LB1 that she had been a H. sapiens individual suffering from microcephaly, a developmental disorder which shrinks the brain. Over the five years since the discovery of LB1, scientists from Australia, America, and Israel have also expressed dissatisfaction with the theory that hobbits were a separate species which somehow retained million-year-old body features 6 THE TRIPLE HELIX Michaelmas 2010 into modern times [9]. The hobbits do seem like a fantastical thought experiment come to life. Take a brain that is one-third the size of a H. sapiens brain but give it the ability to use equally sophisticated tools. The cave where LB1 was found was also littered with charred animal bones and small stone tools [10]. The bones and tools indicated that Floresian hobbits kindled fire, fashioned weaponry, and hunted animals just as H. sapiens were doing at the time. Like Mary Poppins’ magic black bag, the hobbits’ brains were able to store the same amount of information in much less space. However, critics of the separate-species theory maintain that only H. sapiens was intelligent enough to make the tools in LB1’s cave. Robert Martin, professor and curator of biological anthropology at the Field Museum in Chicago, notes that the stone tools in LB1’s cave were carved with a technique that has only been attributed to H. sapiens [9]. “Nobody has ever explained the small brain to my satisfaction,” he said, “and nobody has explained those stone tools to my satisfaction.” Martin’s initial reaction to the LB1 discovery was to graph LB1’s brain size with all known human and primate brain sizes. “You would have to go back three and a half million years to find a brain that small in hominids,” said Martin, referring to the group of animals which include chimpanzees, gorillas, and humans. But at 18,000 years old, LB1 is young by evolutionary standards. To Martin, this disparity suggests that hobbits were deformed H. sapiens and not another species. “When I first saw the tiny size of the brain, I immediately knew there was something wrong with the original analysis,” he said. The debate over the hobbits has volleyed across the pages of many scholarly journals. In a 2006 paper, Debbie Argue of Australian National University compared LB1’s skull with a range of skulls from human to chimpanzee. She concluded that LB1’s skull was much more similar to primate skulls than to normal or microcephalic human skulls [11]. In a paper later that year, Robert Martin criticized Argue’s choice to only use a child microcephalic skull. He pointed out that skull shapes range greatly among different types of microcephaly, especially between child and adult microcephaly [12]. The possibility that LB1 suffered from a different form of microcephaly, Martin maintains, “is simply being ignored.” Despite Martin and his colleagues’ conviction, they are in the clear minority. Research within the past two years has only reaffirmed the hypothesis that the hobbits were not H. sapiens but offshoots from a more primitive hominid line. In 2007, Matt Tocheri of the Smithsonian Institute The hobbits seem like a fantastical thought experiment come to life published a paper which described how a key wrist bone in LB1’s skeleton was not boot-shaped like H. sapiens’ but wedge-shaped like a primate’s [13]. He later collaborated with William Jungers of Stony Brook University on a paper about LB1’s foot. Those seven-and-a-half inch feet, they concluded, © 2010, The Triple Helix, Inc. All rights reserved. YALE were too long and flat to have been human [14]. Together, Tocheri and Jungers created a partial picture of how LB1’s body worked. Though LB1 could hunt like H. sapiens, her primitive features probably made it harder H. floresiensis skull. Reproduced from [19] to do so. She was not as good at gripping tools because her primate-like wrists were less efficient at moving her thumbs. She also could not run, since running requires shorter, more arched feet. And though the hobbit could walk, her body was better suited to four-limbed walking. “The same would be true if we tried to do a lot of climbing, or if we tried to knuckle-walk,” explained Tocheri. Tocheri and Jungers convinced many anthropologists who were previously undecided about the hobbits. In an editorial which appeared with Jungers’ article, Harvard anthropologist Daniel Lieberman wrote that he and many other scientists had “sat on the fence, waiting for more evidence about the nature and forms of H. floresiensis” [15]. With this recent research, he declared that “now we have some.” The recent findings have simultaneously fueled a separate debate among the group of anthropologists who believe that the hobbits were a separate species. Brown and Morwood originally hypothesized that the hobbits came from H. erectus, a species which first evolved 1.7 million years ago and eventually gave rise to modern humans [10]. They suggested that the taller H. erectus gradually became shorter on Flores because smaller bodies are better at competing for resources on islands. This process, which has also been found in dinosaurs, elephants, and modern humans, is called island dwarfing. References: 1. Brown, P. et al. 2004. A new small-bodied hominin from the Late Pleistocene of Flores, Indonesia. Nature 431: 1055-1061. 2. Connor, S. 2007. The Big Question: How old is humanity, and where did ‘Homo sapiens’ come from? The Independent, July 19. 3. Editorial. 2004. Homo TomThumbus. New York Times, October 24. 4. Martin, Robert D. Telephone interview. 14 October 2009. 5. Brown, P. Telephone interview. 13 October 2009. 6. Brown, P. and van Oosterzee, P. 2007. The Discovery of the Hobbit. Random House: Sydney. 7. Wilford, J. N. 2006. Report Reignites Feud Over ‘Little People of Flores’. New York Times, August 21. 8. Teuku, J. 2004. Conflict from Flores: Storm in a Teacup. Kompas, December 15. 9. Brown, P. Telephone interview. 14 October 2009. 10. Brown, P. et al. 2004. A new small-bodied hominin from the Late Pleistocene of Flores, Indonesia. Nature 431: 1055-1061. © 2010, The Triple Helix, Inc. All rights reserved. Island dwarfs have smaller bodies but the same size brain as their mainland counterparts [16]. The hobbits, however, have both smaller bodies and brains than H. erectus, which suggests they did not dwarf from H. erectus. But in 2009, Eleanor Weston of the Natural History Museum in London published evidence that brains can also become smaller in island dwarfing [16]. Weston showed that pygmy hippo brains on Madagascar dwarfed to 30 percent of the brain size of mainland hippos, a scale that is close to the proportion between hobbit and H. erectus brains. Perhaps, Weston noted, brain dwarfing occurred in hobbits as well as hippos. Some are skeptical of the island dwarf theory because hobbits were not just smaller than H. erectus; their bodies were also more primitive. Tocheri and Jungers argued in their papers that LB1 looked most like H. habilis, an even older human ancestor than H. erectus, or Australopithecus, a group of hominids which became extinct in Africa around 3 million years ago. According to Jungers, the island dwarf Most are waiting for more fossils [to] piece together the hobbits’ family history theory is problematic because it implies that H. erectus also had to “reverse evolution literally from jawbone to toes” in order to evolve into H. floresiensis. But anthropologists aren’t placing their bets yet. Most are waiting for more fossils before they can begin piecing together the hobbits’ family history. As Peter Brown said, “there’s almost nothing between Indonesia and Africa” in terms of the fossil records for H. habilis or Australopithecus. There is also hope that researchers will find another skeleton as complete as LB1 on Flores. Finding a hobbit skeleton like LB1’s would confirm that she was a normal individual of H. floresiensis and not a small-brained anomaly of H. sapiens. But skeptics like Robert Martin, who advocate the same species theory, live in hope that they may someday be vindicated. “If they find a skeleton that’s a small size but with a normal size brain, then I’m right,” Martin said. “I’ve said my piece about this. My first answer is that we need more evidence.” Chun Ying is a senior in Trumbull at Yale University. 11. Argue, D. et al. 2006. Homo floresiensis: Microcephalic, pygmoid, Australopithecus, or Homo? Journal of Human Evolution 51: 360-374. 12. Robert, M. 2006. Flores Hominid: New Species or Microcephalic Dwarf? The Anatomical Record 286A: 1123-1145. 13. Tocheri, M. 2007. The primitive wrist of Homo floresiensis and its implications for hominin evolution. Nature 317: 1743-1745. 14. Jungers, W. et al. 2009. The foot of Homo floresiensis. Nature 459: 81-84. 15. Lieberman, D. 2009. Homo floresiensis from head to toe. Nature 459: 41-42. 16. Weston, E. and Lister, A. 2009. Insular dwarfism in hippos and a model for brain reduction in Homo floresiensis. Nature 459: 85-89. 17. CC-BY, Rosino. Available from: http://www.flickr.com/photos/84301190@ N00/1525434007 18. PD, Stony Brook University. Available from: http://graphics8.nytimes.com/ images/2009/04/21/science/21hobbit-190.jpg 19. PD, NSF-Gov. http://www.nsf.gov/news/special_reports/archaeology/ images/photos/teeth.jpg THE TRIPLE HELIX Michaelmas 2010 7 UCHICAGO Fighting Disease: Are Global Funds Misallocated? Chana Messinger O f the many global issues the world faces, one of the most prominent is allocation of the world’s resources to fight disease. Three of the eight Millennium Development Goals agreed to by 192 nations and over twenty-three international organizations relate to combating disease and promoting health. These goals, set forth in 2001, are the markers by which the United Nations evaluates progress on important global issues. Unfortunately, policy decisions are not always entirely based on the scientific and statistical evidence available. In fact, there are severe misallocations in the way that limited funds have been used to fight disease. Current policies on AIDS, malaria, diarrhea and other diseases are almost entirely at odds with the way that the money could save the most lives, focusing money and attention on the first, an expensive and as yet unsolved problem, and underfunding and marginalizing the others, which are curable and less costly. In deciding how much funding to funnel towards a particular disease, one important factor should be fatality. Malaria kills over 1 million people every year, AIDS kills 2 million, and diarrhea causes the death of up to 6 million [1-3]. The numbers are even starker when specifically children are considered, as they should be, given that the fourth millennium development goal relates to child mortality. In Nigeria and Ethiopia, 237,000 people died from AIDS [4]. Over twice Disease funding - is it fair? Reproduced from [28] 10 THE TRIPLE HELIX Michaelmas 2010 that number of children under five died of pneumonia and diarrhea [5]. Researchers at the Johns Hopkins Bloomberg School of Public Health and the WHO estimate that 10.6 million children die before their fifth birthday worldwide. Diarrhea accounts for 17% of these deaths and malaria for Malaria should receive at least as much fiscal attention as AIDS. This is not the case. 8%. In fact, diarrhea has been described as the leading cause of death for children. In contrast, AIDS caused the deaths of only 2.5% of these children [8]. It makes sense then, that based solely on the relative preponderance and fatality of the diseases at hand, that diseases such as malaria and diarrhea should receive at least as much fiscal attention as AIDS. This is not the case. The actions of the United States, the most powerful and wealthy participant in this global summit, are quite telling. In 2008, United States aid, mostly in the form of direct bilateral donations to combat AIDS and HIV, constituted half of the world’s funds allocated to this particular problem [6]. Of the United States Agency for International Development’s (USAID) total Health budget of $4.15 billion, 24%, combined, is allocated to fighting infectious disease, child mortality and promoting maternal health. AIDS/HIV, alone, constitutes a 64% slice of the budget, which amounts to over 2.5 million dollars [7]. The President’s Emergency Plan for AIDS Relief, created in 2003, gave $15 billion to fight AIDS, and this amount was increased to $48 billion when it was renewed earlier this year. To fight malaria, which kills one person every 15 seconds, $1.2 billion was given in 2005 by USAID, to be spent over a period of five years [8]. An argument might be made for research, given that AIDS has no known cure, whereas the others do. However, only 12% of the US budget for AIDS is allocated specifically to research, undercutting this line of reasoning [9]. Money allocated to combat diarrhea-related illness and pneumonia was not even listed on the USAID site. Those diseases, which are leading causes of death in the developing world, are part of a larger initiative to promote maternal and child health and suppress infectious diseases. Not only, however, is money not donated in proportion to how deadly a disease is, but also, the costs of prevention and treatment are not being addressed. Treatment of some diseases is, overall, more cost-effective than treatment of other diseases, and so would save more lives per dollar donated. Even if AIDS were responsible for as many deaths as it might appear to be from the amount of money the US apportions against it, the fact remains that AIDS is a much © 2010, The Triple Helix, Inc. All rights reserved. UCHICAGO more expensive disease to treat than are the others. Yet, all the aforementioned diseases – AIDS, diarrhea, pneumonia, malaria – are preventable: AIDS with safe sex practices and drugs for mothers, diarrhea with clean water, pneumonia with vaccines and malaria with drugs and the use of bed nets. Diarrhea requires a one-time investment into clean water and hygienic sewage for any given community, which might be expensive, but could easily recoup its own cost as these simple but effective measures reduced the prevalence of the disease. Vaccines, such as the one for pneumonia, must be distributed on a case-by-case basis, but once it is eliminated from an area, it often never returns, as is clear from the example of the United States. Bed nets are extremely inexpensive, and hugely reduce the rate of malaria if used correctly. But stopping the spread of HIV and AIDS requires continued education, voluntary implementation of safe sexual practices and an intensive Malaria - 1 million deaths a year. Shouldn’t we be doing more? Reproduced from [29] drug regimen. The treatments themselves put the disdisease. The very next year, the annual health report focused connect between disease fatality and funding for treatment on child mortality, noting that almost 11 million children into sharper perspective. Oral Rehydration Salts, the most under the age of five die each year [15]. An emphasis on widely accepted treatment for acute diarrhea, cost 8 cents per child mortality would necessarily include a focus on AIDS, person. Pneumonia antibiotics generally cost $1 a day, and as this disease kills 270,000 children each year. However, the only have to be taken for a few weeks [10]. Malarial drugs artificial division created by emphasizing them separately are more expensive, about $4 a day, but a new program has quickly gives rise to allotment of funding that equates one been implemented that combines pressure on drug companies disease, AIDS, with the rest of the illnesses that affect chiland subsidies to make them cost approximately 5 cents [11]. dren. AIDS is still extremely important, and needs funding, By comparison, an HIV cocktail in the United States costs but these other diseases are being unfairly dismissed. The thousands of dollars a month. UNAIDS estimates that to problem is that, as separate causes, any money donated treat and care for all Africans infected with HIV/AIDS in to combat AIDS is not given to alleviate any other disease a given year would cost $1.5 billion [12]. Implementing and vice versa. prevention programs and antiretroviral therapy would cost Secondly, societal perspectives on the issues, which billions more. From a strictly utilitarian perspective, money often inform political decision-making, seem to be playing allocated to fight malaria, pneumonia, diarrhea and other a large part. AIDS is at the forefront of the national and preventable, curable diseases would help and save more global consciousness. Google Trends, for example, a fairly accurate measure of internet-user sentiment, puts searches for “AIDS” and “HIV” at 4 to 10 times more frequent than Money allocated to combat “malaria”, “pneumonia” or “diarrhea” [16]. Similarly, the New York Times has published almost 6,000 articles dealing pneumonia was not even with AIDS in the last 27 years, with articles on the subject listed on the USAID site of diarrhea numbering just 48 [17]. The reasons are varied. Tropical diseases have been a part of the human condition people than money given to fight AIDS. As Nigerian Presi- for hundreds of years, whereas the first known cases of AIDS dent Olesegun Obasanjo noted, “It should be recognized were discovered in 1981. Another aspect of popular pressure that given the nexus of malaria and HIV/AIDS, it makes is the fact that AIDS is still a problem in the US, whereas the no practical sense to spend so much on one while leaving other diseases mentioned are not, and furthermore, while the the other underfunded” [13]. tropical diseases mostly affect children, AIDS is widespread There are four main reasons why AIDS is overly em- across the age spectrum, and in fact mostly affects people phasized. The first is that it is treated as separate from other of prime working and child-bearing age [18]. diseases. The 2004 annual World Health report from the World Thirdly, lobbyists fighting for more funding for AIDS apHealth Organization (WHO) addressed AIDS and the need pear to have been hugely successful. As Philip Lee, University for a comprehensive strategy to stop and reverse the spread of California at San Francisco professor of social medicine of this pandemic. It asked for expanded treatment, more says on the subject, “The system is a political process”[19]. community involvement and further integration of different There is not one AIDS lobby, but rather multiple organizasources of knowledge [14]. In order to achieve such a goal, tions that have formed powerful coalitions, such as National the WHO called on the international community to respond Organizations Responding to AIDS, which has over 170 quickly, with money and aid, so as to effectively fight the member organizations [20]. They even have specific lobby © 2010, The Triple Helix, Inc. All rights reserved. THE TRIPLE HELIX Michaelmas 2010 11 UCHICAGO days in Congress, which are May 24 through June 3 [21]. Just last year, in Massachusetts, over 500 people lobbied their state Congress for the yearly AIDS Lobby Day on behalf Popular opinion is a major factor in the way money is allocated to combat disease of Project AIDS Budget Legislative Effort (ABLE) [22]. The AIDS Action Council claims to have successfully helped in the reauthorization of the CARE Act and attained agreement in House of Representatives for removing a ban on funding of syringe exchange programs in Washington, DC. Their mission involves “advocacy on a national level” and they profess to have assisted in implementing important public health policies in the United States [23]. A centralized source of information on South African NGOs called NGO pulse runs a class called the Advanced HIV and AIDS Lobbying and Advocacy Course [24]. This is but one example, but it is indicative of a broader trend. There is no malaria lobby, pneumonia lobby or diarrhea lobby; such lobbies simply do not exist. All such causes are in desperate need of funds, and charitable policies of any kind should be encouraged as much as possible. At the same time, there is also the matter of responsible giving. Good intentions are not enough. Political decisions, even if made in the name of doing good for people around the world, generally ought to be done on the basis of good evidence. When money is given with as much thought to the status of the cause as the help that is needed, there is a substitution of opinion for fact. Ezekiel Emanuel, a bioethicist, calls the ignored issues “mundane but deadly diseases,” emphasizing not only the danger of these illnesses but also the effect that social approval has on References 1. NIAID Malaria Research Program.” National Institute of Allergy and Infectious Disease. October 30, 2009. http://www3.niaid.nih.gov/topics/Malaria/ 2. “Global HIV/AIDS estimates.” AVERT. January, 2008. http://www.avert.org/ worldstats.htm 3. “Deaths from Diarrhea.” Wrong Diagnosis. January, 2005. http://www. wrongdiagnosis.com/d/diarrhea/deaths.htm 4. “Global HIV/AIDS estimates.” AVERT. January, 2008. http://www.avert.org/ worldstats.htm 5. Dugger, Cecilia. “As Donors Focus on AIDS, Child Illnesses Languish.” New York Times. October 29, 2009. http://www.nytimes.com/2009/10/30/ world/30child.html?_r=2&scp=1&sq=AIDS childhood mortality&st=cse 6. “Report on funding for AIDS by G8 countries and other major donors.” Kaiser Family Foundation & UNAIDS. July, 13, 2009. http://www.unaids.org/en/ KnowledgeCentre/Resources/FeatureStories/archive/2009/20090708_kaiser_ G8.asp 7. “Funding.” USAID. November 20, 2009. http://www.usaid.gov/our_work/ global_health/pop/funding/index.html 8. “AIDS funding from national governments,.” AVERT. November 19, 2009. http://www.avert.org/aids-funding.htm 9. U.S. Federal Funding for HIV/AIDS: The FY 2007 Budget Request. February, 2006. http://74.125.95.132/ search?q=cache:Phsd8QOPH18J:www.kff.org/hivaids/upload/7029-03. pdf+AIDS+funding+us+research&cd=1&hl=en&ct=clnk&gl=us&client=firefox-a 10. “Pneumonia Treatments and Drugs.” Mayo Clinic. May 9, 2009. http://www. mayoclinic.com/health/pneumonia/DS00135/DSECTION=treatments-and-drugs 11. McNeil, Donald. “Plan Tries to Lower Malaria Drug Cost.” New York Times. April 17, 2009. http://www.nytimes.com/2009/04/17/health/18malaria.html 12. Hernandez, Julia. “The High Cost of AIDS Drugs in Africa.” July 23, 2001. http://www.law.uh.edu/healthlaw/perspectives/HIVAIDS/010723.html 13. “Africa-malaria-funding: One billion dollars a year needed on malaria: summit.” Agence France-Press. April 25, 2000. http://www.aegis.com/NEWS/ AFP/2000/AF000477.html 14. “Annual World Health Organization Report: 2004.” World Health 12 THE TRIPLE HELIX Michaelmas 2010 the attention and support they receive [25]. Philanthropists are free to distribute their monies as they wish, but the federal government of the United States must be held to a higher standard. Obasanjo’s message, given in the year 2000 at a world summit on malaria is still relevant. As he said, “Africans have consistently put it to the world that malaria is the number one health problem. When recognition of the HIV/AIDS virus came to the fore, Africans continued with their message that malaria was still killing more people. But we went unheeded”[26]. It seems to be a fact that popular opinion is a major factor in the way money is allocated to combat disease, one that is perhaps stronger than how the money can be used to save the most lives. The future of change in this area is the molding of public opinion to make underfunded diseases as well known as those such as AIDS. People who feel that these other, ignored, diseases need more attention and funding are likely to create organizations dedicated solely to one of these problems. This focus demonstrates the importance of each particular illness. Then, coalitions can form and eventually give rise to lobbies, which can affect political decisions. More importantly, the rise of organizations in relation to one disease, for example, malaria, should work to raise awareness and disseminate important information. In this way, it will become part of the national consciousness and relevant evidence, such as that found in this article, will become common knowledge among both the public and politicians. These strategies have been used successfully by those concerned, rightfully, about AIDS, and they can be appropriated for use to fight other diseases. When all of the causes are equally well-known, then the relative importance and opportunity costs will be brought into question and funds may be allocated more fairly. Chana Messinger is an undergraduate at University of Chicago. Organization.” January, 2005. http://www.who.int/whr/2004/en/ 15. “Annual World Health Organization Report: 2005.” World Health Organization.” January, 2006. http://www.who.int/whr/2005/en/ 16. “Google Trends.” Google Trends. November 20, 2009. http://www.google. com/trends?q=AIDS%2C+HIV%2C+malaria%2C+pneumonia%2C+diarrhea 17. “Diseases, Conditions, and Health Topics.” New York Times. January 24, 2010. http://topics.nytimes.com/topics/news/health/ diseasesconditionsandhealthtopics/aids/index.html?s=oldest& 18. “AIDS & HIV Statistics for the USA by Race and Age.” AVERT. January 24, 2010. http://www.avert.org/usa-race-age.htm 19. Thompson, Dick. “The AIDS Political Machine.” Time Magazine. January 22, 1990. http://www.time.com/time/magazine/article/0,9171,969229-2,00.html 20. “National Organizations Responding to AIDS.” NORA. http://www.aidsaction.org/legislation/nora.htm 21. “National AIDS Lobby Days.” AIDS.org. http://www.aids.org/atn/a-126-03. html 22. Jacobs, Ethan. “As funding cuts take toll, AIDS lobby day brings huge crowd to State House.” AIDS Education Global Information System. February 5, 2009. http://www.aegis.com/news/bayw/2009/BY090201.html 23. “About AIDS Action.” AIDS Action. http://www.aidsaction.org/about-aidsaction-mainmenu-187 24. “RECABIP: Advanced HIV and AIDS Lobbying and Advocacy Course.” NGO Pulse. December 3, 2008. http://www.ngopulse.org/event/recabip-advanced-hivand-aids-lobbying-and-advocacy-course 25. “Google Trends.” Google Trends. November 20, 2009. http://www.google. com/trends?q=AIDS%2C+HIV%2C+malaria%2C+pneumonia%2C+diarrhea 26. Dugger, Cecilia. “As Donors Focus on AIDS, Child Illnesses Languish.” New York Times. October 29, 2009. 27. “Africa-malaria-funding: One billion dollars a year needed on malaria: summit.” Agence France-Press. April 25, 2000. http://www.aegis.com/NEWS/ AFP/2000/AF000477.html 28. CC- BY-NC, Wellcome Images, N0019877 . http://images.wellcome.ac.uk/ 29. PD, Michgan State-Gov. Available from: http://www.michigan.gov/images/ mosquito_65147_7.jpg © 2010, The Triple Helix, Inc. All rights reserved. UCHICAGO YALE Through a Baby’s Eyes: Studies in Infant Cognition Megan Altizer B abies. They inspire cooing and melt even the hardest of hearts. Although one would hardly expect to look behind those big round eyes and heads of peach fuzz to find answers about cognition, in recent decades psychologists have looked to infants to unravel the mystery of basic human cognition and development. Initially, methodology appears to be a large roadblock in understanding how babies could contribute to this research. Without the ability to speak, how can one expect infants to aid in the advancement of human cognition? The solution developed by psychologists to overcome this seeming difficulty in communication is perhaps one of the most ingenious innovations in developmental psychology, and it lies behind those big round eyes: a technique called “looking time”. Babies look longer at objects that they find novel or surprising. Psychologists have harnessed this basic fact and created experiments that exploit this idea in order to understand developmental cognition. The following three experiments, merely a handful of short profiles from the vast body of work in infant cognition, can lend understanding to exactly how this type of technique is used and what psychologists can learn from infants. The first profile, one of the most well known infant cognition studies, was conducted by Karen Wynn of Yale University and reveals that the surprisingly complex abili- ties of infants extend even to mathematics. This looking time study investigated the mathematical abilities of infants approximately five months of age. The experiment began with the placement of a single object, in this case a Mickey Mouse doll, on a stage. A screen was then raised to hide the first doll from view. A second doll was then added on the stage; though it was placed behind the screen and out of sight, it passed through the view of the infant as it was placed onstage. Once the screen was dropped, the scene either featured a possible outcome, the two dolls that the infant had seen placed on stage, or an impossible outcome, a single doll. Results indicated that infants looked significantly longer at the impossible outcome, suggesting that this scene surprised them, or violated their expectations. In order to gain more convincing evidence, the infants were exposed to a second condition involving the reverse arithmetic situation. The experiment was repeated with a new introductory scene with two dolls. A screen was again raised, but this time infants saw a hand removing one object from behind the screen. The screen then dropped to reveal a single object (possible) or two objects (impossible). Again, infants looked significantly longer at the impossible outcome. Wynn noted that it is possible that such results indicated an ability to “calculate the results of a continuous amount of physical amount of substance” rather than concrete math- Babies - they’re clever enough to manipulate adults! Reproduced from [4] © 2010, The Triple Helix, Inc. All rights reserved. THE TRIPLE HELIX Michaelmas 2010 13 YALE The structure of the brain. Reproduced from [5] ematical abilities [1]. In other words, it is possible that the babies understood that one plus one is some amount more than one, but not necessarily two. As a result, in order to test this hypothesis, Wynn conducted a third experiment. This final condition was similar to the first, except that the impossible result featured three dolls instead of one. That is to say, it was a test of the infants understanding of the equation one plus one equals two, not three. Yet again, infants looked longer at the impossible event which featured three dolls where there should have been two. This increased looking time at the impossible scenario suggests than infants are computing in discrete mathematical terms; they do not simply conceptualize the idea that addition results in something more than one or subtraction results in something less than two or three. Wynn wrote that such results suggest an innate mathematical capacity in humans, one which “may provide foundations for the development of further arithmetical knowledge”[1]. Additional experiments have shown that infants exhibit a basic understanding of physical concepts as well. In order to understand the principles governing the physical world around them, infants develop categories in which to classify events. These categories, which include occlusion (the hiding of one object behind another), containment (in which one object is placed inside another), and covering (in which an object is covered by a rigid screen), are understood through the attribution of variables including height and transparency. Through various looking time experiments, scientists have found that infants process these categories through a module – when watching an event occur, they make a model of this event in their mind in order to predict the outcome of the event. This model is then analyzed through the principles the infant has previously learned about that category. Variables, like occlusion, containment, and covering, are then included in the model as well. While the understanding of which variables are important generReferences: 1. Wynn K Addition and Subtraction by Human Infants. Nature. 1992 August 27; 358: 749-50. 2. Baillargeon R, Infants’ Physical World. Current Directions In Psychological Science. 2004 June; 13 (3): 89-94. 14 THE TRIPLE HELIX Michaelmas 2010 ally develops with age, evidence suggests that two physical principles are innate. These principles include continuity, the idea that “objects exist continuously in time and space” and solidity, the idea that “for two objects to each exist continuously, the two cannot exist at the same time in the same space” [2]. While these findings may at first seem abstract and rather useless, Renee Baillargeon, a distinguished Professor at the University of Illinois Urbana-Champaign, found possible teaching value in these experiments. By providing key conditions to infants viewing physical events, scientists were able to successfully teach infants about their physical world at a younger age. Other experiments highlight the infants’ social knowledge. A now famous infant cognition study was conducted in 2003 by Valerie Kuhlmeir, formerly a postdoctoral student at Yale University, now of Queen’s University, along with Karen Wynn and Paul Bloom, both of Yale University. It investigated the infant’s ability to understand the goals of others. In order to do understand the goals of others, it is essential that humans are able to posit the others internal beliefs, including emotions and intentions, which often drive certain behaviors. This experiment, a computer animation, involved a ball attempting to “climb” a hill. The ball was then helped or hindered by other shapes. In a second movie, the ball would move next to either the shape that helped it or the shape that hindered it. Through looking Babies look longer at objects that they find novel or surprising time measurements, it was found that infants 12 months of age showed a preference for the video in which the ball moved next to the helper shape, rather than the shape that hindered it. Analysis of these results suggests that these infant attributed mental states and goals to the shapes, and therefore preferred the video which provided a more logical continuation of the first video – the ball associated with its helper, not its hinderer. The psychologist conducting the study concluded that infants could not only “recognize a goal event, but also to later infer a new disposition in a new situation” [3]. It is through studies like those described above that psychologists are better able to understand the development of the human mind and the tug of war between nature and nurture. One would hardly expect such a wealth of knowledge to stem from such adorable sources, but this research is a testament to the ingenuity and persistence of psychologists in the field. One can only wait with curiosity to see what infant cognition research can reveal about the human psyche in the future. Megan Altizer is a sophomore in Silliman College at Yale University. 3. Bloom P, Kuhlmeier V, Wynn K. Attribution of dispositional states by 12 month olds. Psychological Science. 2003 September; 14 (5); 402-8. 4. PD, US-Gov. Available from: http://www.cdc.gov/vaccinesafety/00_images/ Upset%20babies.jpg 5. PD, US-Gov. Available from: http://www.drugabuse.gov/ResearchReports/ marijuana/ReceptorBrain.jpg © 2010, The Triple Helix, Inc. All rights reserved. CAMBRIDGE YALE Are Environmental Charities Useful? Francesca Day F or the past few years, 3% of charitable donations in the UK have been directed at environmental or ‘green’ charities [1]. This term covers charities with a wide range of mission statements, from Friends of the Earth’s ambitions to ‘ensure environmental and social justice, human dignity, and respect for human rights’, to the Soil Association’s more specific objective to ‘raise awareness, and develop and safeguard the entire organic sector’ [2-3]. Do these varying goals merit their classification as ‘environmental’? And how do these organisations’ actions compare with their mission statements? The primary activity of most green charities is the organisation of a wide variety of campaigns in the hope of changing both government policy and individuals’ lifestyles so that they are more in keeping with the goals of that organisation. The larger charities can have a significant influence on both of these targets, so it is important that their policies are carefully constructed to be as beneficial as possible for long-term sustainability. This requires that they are evidence-based and that they are able to change as the available evidence or context changes. There is little doubt that one of the largest environmental threats facing the modern world is that of climate change [4], and this area has naturally been given a lot of attention by green charities. For example, Friends of the Earth were key players in the introduction of the 2008 Climate Nuclear Power - what is the risk? Reproduced from [24] © 2010, The Triple Helix, Inc. All rights reserved. Change Act in the UK, which aims to cut greenhouse gas emissions by 80% by 2050 [5-6]. More recently, in May 2010 Greenpeace campaigners played a key role in convincing the UK government to scrap its expansion of the Heathrow, Gatwick and Stansted airports [7]. Airport expansion might well have been a bad move in the battle against climate change but it is not possible to know the true usefulness In all cases, merely pointing out the problem is not sufficient of Greenpeace’s intervention – the UK aviation prevented by the lack of expansion could well be provided by other countries, if the market for it exists. Such measures may be excellent for raising awareness, but they do not have the long term impact promised by the legislative approach. Of course, we have yet to see whether the targets set out in the Climate Change Act will be met. In all cases, merely pointing out the problem is not sufficient – we need long-term, integrated solutions that are compatible with technological and social constraints. Accordingly, Greenpeace offers a number of suggestions for renewable energy generation (such as wind, wave and tidal power), in addition to their dramatic campaigning [8]. Unless we are prepared to return to a pre-industrial way of living, some method of energy production that does not involve the net emission of greenhouse gases is required. Depending on how much energy we are able to generate in this way, significant increases in energy efficiency may also be needed, generated both by technological advances and lifestyle changes. In the short term, this increase in efficiency will almost certainly be needed to reduce the emission of green house gases from the fossil fuels we still burn. The main role of the environmental movement here has been to put pressure on organisations and individuals to reduce their ‘carbon footprint’ through a variety of lifestyle and business changes. However, some potential short term solutions are not welcomed by everyone in the environmental movement. For example, Greenpeace is against all forms of nuclear power – including the development of nuclear fusion [9, 10]. Nuclear power has been responsible for some terrible tragedies and produces radioactive waste that is troublesome to dispose of. However, nuclear power does not directly produce greenhouse gases, and is therefore a promising candidate as a short term, and possibly long term, method of energy generation. There is certainly a debate to be had on nuclear power, but the opposing environmental movement does not recognise the complexity of the issue and does not acknowledge the possibility that technological advances could eliminate some of the current problems of nuclear power [11]. To date, the opposition from the environmental THE TRIPLE HELIX Michaelmas 2010 15 CAMBRIDGE movement has not stopped governments from continuing with their nuclear power programmes. For example, the UK energy secretary Chris Huhne has recently announced plans to open new nuclear power plants by 2018 [12]. Italian Prime Minister Silvio Berlusconi, backed by public opinion, plans to restart production of nuclear power in Italy, which was rejected after the Chenobyl disaster in 1986 [13]. Perhaps in this case environmental charities provide a much needed opposing voice to remind politicians of safety concerns as they push for nuclear expansion. One of Greenpeace’s aims is to ‘promote open, informed debate about society’s environmental choices’ – undoubtedly a worthy sentiment. But their actions do not always live up to this sentiment [14]. For example, Greenpeace is very openly against any form of genetic engineering (GE), despite the fact that the general scientific consensus is that, while some applications of GE could be harmful, there is nothing inherently dangerous about it [15]. In fact, there is research to suggest that various GE crops could be beneficial for the environment, for example by use in conjunction with ‘no-till’ farming, in which the soil is not ploughed or turned A well-meaning protest - but what about the science? Reproduced from [25] over [16]. With regard to both nuclear power and GE, Greenpeace is not ‘promoting open crop yield in some areas [17]. Destruction of natural habitats debate’, but vehemently defending their chosen point of view. can damage eco-systems that are useful to humanity, and it Furthermore, by taking such a one-sided stance, Greenpeace also prevents future generations from enjoying the world’s may be blocking environmentally beneficial technology. natural beauty. This seems to be compelling reason enough Friends of the Earth advertises the seemingly admi- for making environmental protection our highest priority. rable vision of a ‘peaceful and sustainable world based on However, there is also a tendency within the environsocieties living in harmony with nature’ [2]. One would mental movement, and elsewhere, to imply that ‘Nature’ be hard-pressed to argue with the desire for the future to as an actual entity is working for the good of humanity and be ‘peaceful and sustainable’, but ‘living in harmony with is somehow hurt when we emit greenhouse gases, destroy nature’ is more problematic. This idea, which is common to rainforests, or pollute rivers. People are thus led to the conmany supporters of the environmental movement, raises the clusion that ‘natural’ things must be inherently better than question: ‘Why are we protecting the environment?’. The ‘artificial’ things. This attitude is particularly prevalent in obvious reason is to ensure the happiness – and perhaps relation to food. For example, ‘organic’ farming is often even survival – of this and future generations. For example, praised as being more ‘natural’ than conventional farming climate change caused by human activity may cause, and [18]. This is surely true for certain definitions of ‘natural’. could well already be causing, a host of major and potentially However, whether ‘natural’ agriculture (an oxymoron in lethal problems such as ‘natural’ disasters and decreased itself!) is desirable is questionable. Humans have spent 16 THE TRIPLE HELIX Michaelmas 2010 © 2010, The Triple Helix, Inc. All rights reserved. CAMBRIDGE thousands of years breeding plants so that they deviate from their natural state as much as possible. This was necessary because plants that existed before the invention of agriculture generally needed to be poisonous or innutritious to ensure their survival. It at first may appear logical to suppose that returning The blame tends to be placed on large organisations rather than individuals to a ‘natural’ way of living would sort out our environmental problems – after all, wasn’t it non-natural human activity that got us into this mess? Indeed, if all humans were to instantly cease to exist, man-made green-house gas emissions and deforestation would plummet. It is also true that humans have lived ‘naturally’ for thousands of years, and throughout this time there have been no global man-made environmental crises. However, we should not forget that this ‘natural’ lifestyle led to high rates of disease and malnutrition, even within the relatively small global population at that time. Today’s population needs technological solutions if we are to continue to survive in a sustainable manner without widespread suffering. Another issue is that of responsibility and blame. While green charities are good at encouraging the public to make small lifestyle changes to reduce their carbon footprint, they have also developed the theme that the main culprits are large organisations and governments. In fact, the ‘what you can do’ section of the Greenpeace website contains only suggestions of donations, fundraising and campaigning, outlining possible measures to directly reduce environmental impact elsewhere on the website. Some potentially effective personal choices, such as eating less meat and dairy, or having fewer children are very rarely mentioned by the mainstream environmental movement as a whole [19-21]. These measures may seem less appealing to the public than merely turning References: 1. The impact of the recession on charitable giving in the UK . Charities Aid Foundation and National Council for Voluntary Organisations; November 2009. 2. Friends of the Earth [Online]. [Cited 2010 Aug 8th]; Available from: URL: http:// www.foei.org/en/who-we-are/about/mission_statement.html 3. Soil Association [Online]. [Cited 2010 Aug 8th]; Available from: URL: http://www. soilassociation.org/Aboutus/Whoweare/tabid/66/Default.aspx 4. Understanding and Responding to Climate Change. United States National Academy of Sciences; 2008 5. BBC News [Online]. 2006 October 12th [Cited 2010 Aug 8th]; Available from: URL: http://news.bbc.co.uk/1/hi/uk_politics/6045680.stm 6. Committee on Climate Change [Online]. [Cited 2010 Aug 8th]; Available from: URL: http://www.theccc.org.uk/about-the-ccc/climate-change-act 7. Greenpeace [Online]. [Cited 2010 Aug 8th]; Available from: URL: http://www. greenpeace.org.uk/blog/climate/third-runway-we-won-20100513 8. Greenpeace [Online]. [Cited 2010 Aug 13th]; Available from: URL: http://www. greenpeace.org.uk/climate/solutions/renewable-energy 9. Greenpeace [Online]. [Cited 2010 Aug 8th]; Available from: URL: http://www. greenpeace.org/international/en/campaigns/nuclear/ 10. Greenpeace [Online]. [Cited 2010 Aug 8th]; Available from: URL: http://www. greenpeace.org/international/press/releases/ITERprojectFrance/ 11. Grimes RW, Nuttall WJ. Generating the Option of a Two-Stage Nuclear Renaissance. Science 2010 Aug 13th; 329: 799 – 803 12. BBC News [Online]. 2010 Aug 9th [Cited 2010 Aug 13th]; Available from: URL: http://www.bbc.co.uk/news/uk-politics-10910898 13. BBC News [Online]. 2010 Aug 6th [Cited 2010 Aug 13th]; Available from: URL: http://www.bbc.co.uk/news/world-europe-10841533 © 2010, The Triple Helix, Inc. All rights reserved. off light switches and recycling, but they deserve a mention by any organisation committed to environmental protection. Similarly, public opinion cannot be logically used as a measure for assessing the usefulness or safety of an idea (as in “consumers have rejected GM [genetically modified] foods outright”) [22]. This is particularly fallacious when it is the campaigning of that same charity that has partially caused this trend in public opinion. Looking through the websites of leading environmental charities, we can see that the blame for environmental problems tends to be placed on large organisations rather than the individuals consuming their products (“But still the aviation industry wants more”) [23]. It is, of course, important that all organisations are made to take responsibility for the environmental consequences of their activities. However, this can only happen if individuals stop living in a way that supports these activities – for example by frequently using aeroplanes. In fact, the opposition to GM mentioned above stems partly from the fact that it is seen to benefit large ‘biotech companies’ – this is despite Greenpeace’s claims to “have no permanent allies or adversaries” [22,14]. The environmental movement should also consider that a few large organisations have a greater potential for efficiency than many small organisations, and also have a greater incentive to develop environmentally sound policies, as they are always in the public eye. For any organisation - and in particular any environmental charity - to be useful in the struggle to maintain a safe and sustainable environment, it must avoid the ‘you are wrong and we are right’ approach by forming policies based on relevant evidence, rather than popularity considerations. It is easy to become angry or sentimental about our environment and planet, but the threats we face must be understood and countered through scientific reasoning. Francesca Day is a second year student studying Physical Natural Sciences at St. Catherine’s College. She is also the Executive Chair of The Triple Helix, Cambridge. 14. Greenpeace [Online]. [Cited 2010 Aug 8th]; Available from: URL: http://www. greenpeace.org/international/en/about/our-core-values/ 15. Käppeli O ,Auberson L. How safe is safe enough in plant genetic engineering? Trends in Plant Science 1998 July 1; 3(7): 276 – 281. 16. Trewavas A. A critical assessment of organic farming and food assertions with particular respect to the UK and the potential environmental benefits of no-till agriculture. Crop Protection 2004 Jan 21; 23: 757 – 781. 17. McMichael AJ, Woodruff RE, Hales S. Climate change and human health: present and future risks. Lancet 2006 Feb 9th; 367: 859–69 18. Directorate General for Agriculture and Rural Development of the European Commission [Online]. [Cited 2010 Aug 8th]; Available from: URL: http://ec.europa. eu/agriculture/organic/organic-farming/what-organic_en 19. Greenpeace [Online]. [Cited 2010 Aug 8th]; Available from: URL: http://www. greenpeace.org.uk/what-you-can-do 20. Juliette Jowit. Why eating less meat could cut global warming. The Observer 2007 Nov 11th; Available from: URL: http://www.guardian.co.uk/environment/2007/ nov/11/food.climatechange 21. BBC News [Online]. 2009 Feb 2nd [Cited 2010 Aug 8th]; Available from: URL: http://news.bbc.co.uk/1/hi/sci/tech/7865332.stm 22. Greenpeace [Online]. [Cited 2010 Aug 8th]; Available from: URL: http://www. greenpeace.org.uk/gm 23. Greenpeace [Online]. [Cited 2010 Sep 16th]; Available from: URL: http://www. greenpeace.org.uk/climate/what-we-are-doing 24. CC-BY-NC-ND, Koert Michiels. Available from: http://www.flickr.com/photos/ koertmichiels/1516321778/ 25. CC-BY, Greenpeace Italia. Available from: http://www.flickr.com/photos/ greenpeace_italia/3074584116/ THE TRIPLE HELIX Michaelmas 2010 17 CAMBRIDGE The Achilles Heel of the Patient-Care Process Kate Wiles G rant Achatz, a famous chef, once declared in an interview that he would rather die than lose his taste buds, but faced with such a choice Achatz refused to accept either. At 35, he had noticed a white spot on the underside of his tongue and within a few months, half of the tongue was a white, crusty texture. Despite being a young, healthy male with no history of risk factors, five doctors confirmed that he indeed had cancer of the tongue and informed him that his only treatment option was to have his For diseases such as diabetes, compliance is absolutely vital entire tongue removed. Adamant that radiation therapy was more suitable, Achatz headed to Chicago where he pursued a course of chemotherapy. The drugs left him weak and, for the better part of a year, Achatz lost all sense of taste. Despite feeling uncomfortable and uncertain at times of his treatment, Achatz persevered and today is not only the head Chef of a restaurant ranked 7th in the world but has also recovered full use of his tongue [1]. Grant Achatz’s story throws into light the involvement that many patients take in their own treatment. Sometimes at-home therapy (particularly after more aggressive treatments) is left in the hands of the individual, with life-altering consequences. Statistically, the repercussions of patient noncompliance are staggering: 10-20% of all hospital and nursing home admissions, totaling 340 deaths per day, are directly due to this phenomenon [2]. Even more worrisome is the number of pregnancies (almost 20%) resulting in patients not taking prescribed contraceptives [3]. In totality, these figures sum to a hefty estimate of between $100 billion and $300 billion a year of unnecessary healthcare costs in the US [4-6]. ‘Non-compliance’ now has a two-fold definition: first, the failure to follow a drug regimen, and second, the failure to adopt other measures that contribute to improvement in health [7]. There are a variety of techniques that have attempted to control the former, but they have often come with ethical questions. For example, the tendency to provide exhaustive information on healthcare leaflets, especially regarding side effects, may make medications sound more dangerous than they actually are [7]. In a survey of 412 members of the Swedish Society of Oncology, 45% of doctors believed that patients would not participate if fully cognizant of all aspects of the study [8]. Nevertheless, fewer than half of the patients actually understood the concept of “randomization” in a test trial following the explanation by the doctor [8]. Regardless of the amount of information given, non-compliers make up a statistically significant and constant population. 18 THE TRIPLE HELIX Michaelmas 2010 For those with medical conditions that necessitate constant control, such as diabetes, compliance is absolutely vital. For diabetics, failure to take insulin arises in approximately 28% of patients [9]. Furthermore, there is a direct link between poor glycaemia control, acute hospital admission for diabetic ketoacidosis, and acute complications related to diabetes [9]. In one of the most comprehensive studies ever done in the United States, it was demonstrated that males and females are both just as non-compliant. There is, however, a strong age dependence--adolescents from ages ten to twenty report a much lower adherence index than any other age group [9]. Commonly cited explanations for non-compliance were weight loss strategies, manipulation, recklessness, error, or fatigue in the daily battle against diabetes. This study did not even take into account the 5% of patients who—after diagnosis—default from clinical follow-up and are at the highest risk for acute complications. These patients, unlike so many of their fellows, are faced with following medication throughout their entire lives and, perhaps unsurprisingly, are particularly vulnerable to non-adherence. Very little, other than increasing exposure to healthcare professionals and addressing medication in a formal setting (at a higher cost), can be done to ensure that teenagers, as the highest risk group, comply with their medication strategies [9]. One area where information does make a difference is in drug leaflets. Some patients who sit anxiously in the doctor’s office thumbing and re-thumbing through the leaflets will even sometimes go online and, after reading the interpretations of other untrained sufferers, decide to only take half the dose for half the time [7]. Lastly, the “nocebo” effect where a patient’s predisposition is the key to physical and psychological side effects has been shown in several studies to have a serious impact on a patient’s choice of continuing treatment [7]. Luckily, there is a fairly clear and well-studied procession for those eager to address the power of the written word: reassess the current recommendations and make them easier to access, more readable in laymen’s term, and, above all, entirely truthful. Healthcare leaflets may make medications sound more dangerous than they are The question then naturally arises—why do so many individuals knowingly postpone, skip, or stop taking medications that could save their lives? In a complex study involving at-home leg physiotherapy, patients were interviewed through an initial phase with a therapist and then on their own as the study progressed [10]. In the beginning, most attempted to comply either out of an altruistic sense of responsibility toward the study or in order to please the therapist. When the therapy moved to the home, however, most patients only © 2010, The Triple Helix, Inc. All rights reserved. CAMBRIDGE Medical advice leaflets - encouraging hypochondriacs? Reproduced from [14] incorporated the exercises that were easiest, that showed some immediate benefit, or that fit in with their lifestyle [10]. Some struggled to complete any whatsoever. This result corroborates with current sociological thinking—that patients follow treatment based on their experiences, their beliefs, and how the treatment fits into their daily routine, and this behavior does not bode well for a society-wide culling of non-compliance [10]. Finally, the most harrowing reason for patient noncompliance is historical instances of negligence by healthcare providers. Between the years 2000 and 2002 an estimated 195,000 patients died in hospital due to medical malpractice [11]. 400,000 preventable drug-related acts of negligence occur each year. A further 800,000 occur in long-term care settings, and roughly 530,000 occur just among patients over the age of 50 placed in outpatient clinics [12]. In the United States, the Tuskegee Syphilis Trial shook the trust of African Americans in healthcare providers— particularly as regards clinical studies. In Tuskegee, nearly 400 patients were observed until death for nearly 40 years in order to assess the clinical effects of long-term syphilis [13]. The patients were not told that they had a specific disease that is transmitted through sexual intercourse nor that the disease could be passed from mother to child. Furthermore, the men were deliberately denied treatment (penicillin) when antibiotics emerged after World War II. In the modern context, the result of deep-seated fear led major African American newspapers as well as some doctors and even a © 2010, The Triple Helix, Inc. All rights reserved. television programme to assert, in 1991, that AIDS was a form of genocide created by mankind to curb their population. As a result, the SCLC (Southern Christian Leadership Conference), a civil rights group set up by Martin Luther King, was given funding by the Centre for Disease Control in order to provide HIV education. In their studies, they discovered that, at the time, while 35% believed that AIDS was a genocide (with 30% believing that HIV was a manmade virus), another 30% were unsure, and 44% believed that the government was lying about HIV while another 35% were unsure [13]. In particular, when HIV-infected women were encouraged not to have children and to use contraception, they misinterpreted this as a suppression of reproductive rights [13]. These results prompted the SCLC to report to the CDC that mistrust from African Americans could be a cause for serious concern for health officials. Within this context, the SCLC advised that healthcare professionals must be aware of the levels of mistrust and be informed about the details of the Tuskegee trial [13]. While this discussion has attempted to address what— on a global level—the caregiver can do in order to address noncompliance, patients such as Grant Achatz provide an example of how the patient-provider relationship has changed. Although the professional is almost always more informed and more experienced, patients are able (due to the internet, extensive publications, and speedier methods of communication), to learn about all of their options and make decisions accordingly. Just as patients must play an active partnership THE TRIPLE HELIX Michaelmas 2010 19 CAMBRIDGE role in their treatment, so too must healthcare professionals know their patients’ medical care rights and act on them. It has been recommended that, while professionals should be entirely truthful about potential and clinically relevant side effects, so too must patients ask for a record of the drugs they have been prescribed including a print record of all medication [8]. Patients should also maintain a list of dietary supplements, over-the-counter medications, and hormonal contraceptive methods that may affect their patient care [8]. Fundamentally, if a trustworthy relationship is to be built, personal responsibility exists on both sides. Given that each individual follows a course of action that seems in keeping with his or her lifestyle, it is somewhat surprising that noncompliance is such a pervasive outcome that consistently affects around 30% of those administering treatment to themselves [2]. Millions of Antibiotics - how many of us actually complete the course? Reproduced from [15] pounds have gone into adstrains, it is becoming increasingly difficult to find panaceas dressing non-adherence from a medical standpoint, as it is for today’s society like penicillin was in the 1950s. Despite widely accepted that increased compliance will lead not better-phrased leaflets, more patient contact, and a number of other strategies all aimed at increasing face contact with patients, it is ultimately the individual’s responsibility to Mistrust could be a cause consider not only what is best for his or her own health, but for serious concern for also what can ultimately affect the world-wide population. The solution is almost painfully simple: finish a treatment health officials course, unless otherwise advised by a doctor. only to better patient health, but also to greater drug efficacy. With the rise of multi-resistant HIV and tuberculosis Kate Wiles is a second year student studying Natural Sciences at Trinity College. She is also the Editor-in-Chief of The Triple Helix, Cambridge. References: 1. Landau, Elizabeth. “How a top chef lost, regained his taste.” Date Published: 4 May 2010. Date Accessed: 24 August 2010. CNN.com. Available at: http://edition.cnn. com/2010/HEALTH/05/03/alinea.chef.tongue.cancer/index.html?iref=allsearch 2. Zuger A. “The other drug problem: forgetting to take them.” New York Times. June 2, 1998:C1. 3. Rosenberg M, Waugh MS, Long S. “Unintended pregnancies and, misuse and discontinuation of oral contraceptives.” Journal of Reproductive Medicine 1995; 40: 355–360. 4. The Task Force for Noncompliance. “Noncompliance With Medications: An Economic Tragedy With Important Implications for Health Care Reform.” Baltimore, MD: The Task Force for Noncompliance; 1994. 5. DiMatteo MR. Variations in patients’ adherence to medical recommendations: a quantitative review of 50 years of research. Med Care. March 2004;42:200-209. 6. Butler K. A spoonful of compliance helps keep costs down. WSJ CareerJournal. com (From Employee Benefit News). Available at: http://www.careerjournal.com/ hrc enter/benefitnews/20050819-bn.html. Accessed August 19, 2010. 7. Verdu, A. “Non-compliance: a side affect of drug information leaflets”. Journal of Medical Ethics 2004; 30:608-609. 8. Lynoe, N. “Clinical Cancer Research: Some aspects on doctors’ attitudes on informing patients.” Acta Ontologica 1996; 35;6:749-756. 9. Salas, M. “Costs of Medication Nonadherence in Patients with Diabetes Mellitus: A Systematic Review and Critical Analysis of the Literature”. Value in Health 2009; 12;6. 10. Campbell, R. “Why don’t patients do their exercises? Understanding non-compliance with physiotherapy in patients with osteoarthritis of the knee”. Journal of Epidemiology and Community Health 2001; 55:132-138. 11. Loughran, Sarah. “In Hospital Deaths from Medical Errors at 195,000 per Year in USA”. Medical News Today. 2004. http://www.medicalnewstoday.com/medicalnews. php ?newsid=11856. Retrieved 14 September 2010. 12. Bootman, J et al. “Medication Errors Injure 1.5 Million People and Cost Billions of Dollars Annually”. The National Academy of Science. 2006. http://www8. nationalacademie s.org/onpinews/newsitem.aspx?RecordID=11623. Accessed September 14, 2010. 13. Thomas, Stephen and Sandra Quinn. “Public Health Then and Now The Tuskegee Syphilis Study, 1932 to 1972: Implications for HIV Education and AIDS Risk Education Programs in the Black Community.” American Journal of Public Health 1991; 81;11:14981505. 14.CC-BY-NC, Wellcome Images, N0036236. http://images.wellcome.ac.uk/ 15. CC-BY-NC, Wellcome Images, N0021922. http://images.wellcome.ac.uk/ 20 THE TRIPLE HELIX Michaelmas 2010 © 2010, The Triple Helix, Inc. All rights reserved. CAMBRIDGE Reaching Out to Potential Scientists: Why should we care? Pete Matthews “ A t least ten of the current best selling drugs on the market have Britons as their named inventors” [1]. Britain has long been amongst the world leaders in the twin fields of the chemical and pharmaceutical industries; however, if it is to keep its place, work must be done to target a key group of individuals: 16-17 year olds. At this age, adolescents are in the process of making important decisions that will define their future careers, particularly A-level and potential degree course choices. Unfortunately, the current crop of GCSEs has been roundly criticised by several scientific organisations. In 2008, the Science Community Representing Education stated: “It is astonishing that there are questions in our science GCSEs that have no relation to science and that mathematics, the cornerstone of sound scientific understanding, is so woefully represented” [2]. The current crop of GCSEs has been roundly criticised by several scientific organisations Indeed, despite the money being spent and the governmental drive to make sciences more accessible, interesting and relevant to today’s youth, examinations still appear to be a major source of contention. On the matter of Key Stage 3 examinations (for 14 year olds) Royal Society of Chemistry chief executive Richard Pike said: “This is not just a matter of having questions of varying difficulty to accommodate a wide range of ability within the student cohort… which has become a feature of modern examinations. Rather, even questions tailored for an ability range such as tiers 3-6 in Key Stage 3 are far less demanding than reflected in the content of text books written specifically for this range” [3]. Reproduced from [17] © 2010, The Triple Helix, Inc. All rights reserved. Reproduced from [18] This style of question from the National Curriculum Key Stage 3 exams, commonly known as SATs (from the 1991 name of Standard Assessment Tests for 14 year olds), appears to set the trend for all of the next three sets of major exams sat by students [4]. On the other hand, research done by Durham University, which analysed 250,000 A-level results showed that it is easier to achieve the highest grades in subjects such as Media Studies and Psychology than when sitting Maths, Physics and Chemistry [5]. Studies like these make it easy to see why several commentators suggest teachers push students away from the sciences in order to raise the school’s ranking in the league tables [6]. There have been several initiatives to increase the quality and scope of teaching for science and Maths in schools. In 2009, the Department for Children, Schools and Families claimed that “as a result of bursaries and golden hellos the number of trainee science teachers recruited last year reached more than 3,000, and applications were up so far this year by 42 per cent compared with last year” [7]. However, the number of applicants for a post-graduate certificate in education (PGCE) in Chemistry dropped from 595 in 2006 to 513 in 2008 [8]. There has been mixed success in increasing the overall Citizens in Battle - Call of Duty: Modern Warefare 2 THE TRIPLE HELIX Michaelmas 2010 21 CAMBRIDGE numbers of students studying science at A-level and university. For example, since 1996, the number of students studying Chemistry has increased from 40,148 to 41,680, though as The need for scientists to showcase their talents and the cutting-edge nature of their work to students is very real a percentage of the total number of A-level students there has been a fall from 5.5% to 5%. A similar trend is seen in the applications to UCAS for Chemistry degrees; in 2003 there were 2,434 applications (0.57% of all applicants), rising to 3,399 (0.66%) in 2008, representing a 10-year high. Unfortunately there has been a fall since 1996, when there were 3,612 applications representing 0.93% of all UCAS applications. These percentage falls reflect the fact that rising numbers of students are continuing their education to a higher level [8]. Schools and the exam system tend to shoulder the majority of the burden when it comes to inspiring the next generation of scientists. It may not be the role of exams to take up this challenge, but in recent years, teaching and exams have become inexorably linked. In 2008, a report by the schools inspectorate, Ofsted, found that “too much teaching concentrates on the acquisition of sets of disparate skills needed to pass examinations” [9]. This does not mean that schools should be the only group working to enthuse; there is more that can be done outside the classroom to reach out to teenagers. Institutions such as the University of Cambridge run Science Festivals, though these tend to be focused more on the very young, with flashes and explosions being a staple requirement. Elsewhere, the Manchester Museum of Science and Industry has created the Joshua Philips Award, which was founded for “innovation in science engagement” [10]. Last year it was presented to David Price, a man who tours schools in the North performing science shows and also takes to the streets in Manchester busking about science. It is probably true that in the vast majority of cases, shows, museums, or even television programmes like the BBC’s ‘Bang Goes the Theory’, will not be the deciding factor in influencing a 17-yearold’s decision to pursue 22 THE TRIPLE HELIX Michaelmas 2010 a future in science, but this does not mean that they should be neglected. The need for scientists to showcase their talents and the cutting-edge nature of their work to students is very real and could be a deciding factor in overcoming the barrier erected by an undemanding examination system. This is where universities can step in, by running workshops or outreach days specifically aimed at GCSE/AS students. These courses are already quite common and allow access to higher-grade laboratory equipment. Often these open days include talks that aim to raise the students’ current knowledge to the next level by introducing more advanced science. One major scheme is The National Particle Physics Masterclass, which has been running since 1997. These classes are organised by the High Energy Particle Physics Group of the Institute of Physics. In 2010, nineteen institutions nationwide, ranging from the Rutherford Appleton Laboratory, Didcot, to the University of Glasgow, hosted events. The programmes differ at the various institutes, but they typically include “talks by particle physicists which convey some of the excitement of working in a rapidly-moving field [and] hands-on experience of the interactive graphical display programs that particle physicists use at the European Laboratory for Particle Physics, CERN” [11]. For Britain to continue to be a leading scientific nation, it must engage future generations Why do we care, though? What need is there for us to Reproduced from [19] © 2010, The Triple Helix, Inc. All rights reserved. CAMBRIDGE Reproduced from [20] bother channelling our time and energy into stimulating the huge potential that is out there? Why should we be doing anything to arrest the decline in further scientific study? Chemistry is a prime example of just why. In 2006, Sussex University announced the planned closure of its Chemistry Department [12]. Its closure was prevented owing to student and faculty protests, but the University now plans to axe some 30% of the faculty [13]. Amid the outcry at the time, few reasons were provided regarding why we need chemists References: 1. McCoy M. Where Chemists Go After Big Pharma. Chemical and Engineering News, ACS 88:34-36. Available from: http://pubs.acs.org/cen/email/ html/8822bus1.html 2. Abandoned news release from SCORE, via the RSC. Hidden SCORE report deplored new science GCSE exams. RSC. 2009 July 16 [cited 2010 Aug 8]. Available from: http://www.rsc.org/AboutUs/News/PressReleases/2009/ SCOREGCSEReport.asp 3. Press release from the RSC. Black mark for examiners offering simplistic questions. 2008 June [cited 2010 Aug 17]. Available from: http://www.rsc.org/ AboutUs/News/PressReleases/2008/BlackMark.asp 4. BBC News. School tests: who takes what. BBC. 2009 May 6 [cited 2010 Aug 17]. Available from: http://news.bbc.co.uk/1/hi/education/2994018.stm 5. Cole R, Searle J, Barmby P, Jones K, Higgins S. Relative difficulty of examinations in different subjects. Durham University. 2008 July. Available from: www.sciencecouncil.org/documents/SCORE2008summary.pdf 6. Garner R. Scandal of class divide at A-level. The Independent. 2009 Aug 19 [cited 2010 Aug 17]. Available from: http://www.independent.co.uk/news/ education/education-news/scandal-of-class-divide-at-alevel-1774031.html 7. Woolcock N. Science and math’s teachers ‘should have loans paid off’. The Times. 2009 Aug 10 [cited 2010 Aug 17]. Available from: http://www.timesonline. co.uk/tol/life_and_style/education/article6789286.ece 8. Royal Society of Chemistry. Digest of Statistics of Chemistry Education 2008. 2008. Available from: http://www.rsc.org/images/Summarylateststatistics_ tcm18-102763.pdf 9. Ofsted. Mathematics – Understanding the Score. Ofsted. 2008 September. Available from http://www.ofsted.gov.uk/content/download/7137/73098/file/ Mathematics%20-%20understanding%20the%20score.pdf © 2010, The Triple Helix, Inc. All rights reserved. in the first place. Before the Credit Crunch, the chemical industry contributed a trade surplus of £5.6 billion; given that in the same year, 2005, the UK’s trade deficit was about £4 billion, this figure puts into perspective just how important this industry is. Just two years later, the contribution was down to £4.5 billion; this decline is nothing new [14]. Ten years ago, back in the heady days of the late 90’s, Britain had a 4.4% share of the chemicals export market, equating to around US$73 billion, a substantial contribution to any country’s GDP. However, in 2009, despite the value of our exports rising to US$120.3 billion, our portion had fallen to 3.3% [15]. This is primarily due to the huge increase in production from India and China that has continued to reverberate around the world [16]. It is not just the pure chemical based companies that have been affected; the pharmaceutical sector has also started to take a hit. The UK and its companies have long been renowned in this area, providing a large employment sector for many skilled graduates to use their hard-earned degrees. However, big names like Merck, Roche and AstraZeneca have started to look towards the rising Eastern powerhouses, not only for production, but also for the research and development – the technical innovations that have helped to shape this country [14]. Where, then, do we stand? Clearly there are issues that urgently need to be addressed, but there is hope. Whilst the university-run outreach schemes are an important step in encouraging further study in sciences, the perception of science by school pupils must change. This requires a rethink of the education system, with greater input by scientific institutions to ensure that syllabuses remain stimulating, challenging and relevant. For Britain to continue to be a leading scientific nation, it must engage future generations and, in doing so, rebuild solid foundations for the next cohort of world leading scientists. If the economy is to thrive, Britain must reawaken to science. Pete Matthews is a third year student studying Chemistry at Corpus Christi College. 10. Museum of Science and Industry, Manchester news release. New Science Festival Award in memory of Josh. 2007 [cited 2010 Aug 17]. Available from: http://www.mosi.org.uk/about-us/news/science-award-in-memory-of-josh 11. The National Physics Masterclass. Particle Physics UK. 2010 [cited 2010 Aug 17]. Available from: http://www.particlephysics.ac.uk/teach/master-classes.html 12. BBC News. Chemistry closure plan deferred. BBC. 2006 March 17 [cited 2010 Aug 17]. Available from: http://news.bbc.co.uk/1/hi/england/southern_ counties/4815842.stm 13. RSC News. Chemistry at Sussex under threat again. RSC. 2010 June 09. Available from: http://www.rsc.org/chemistryworld/News/2010/ June/09061001.asp 14. RSC position statement. Supporting the future discovery of new medicines in the UK. 2010 May 5 [cited 2010 Aug 17]. Available from: http://www.rsc.org/ AboutUs/News/PressReleases/2010/MedicinesUK.asp 15. Global Chemical Shipments. American Chemistry Council. 2009 [cited 2010 Aug 17]. Available from: http://www.americanchemistry.com/s_acc/ sec_directory.asp?CID=292&DID=747 16. Perlitz U. India’s pharmaceutical industry on course for globalisation. Deutsche Bank Research. 2008 April 9. Available from: www.dbresearch.de/ PROD/DBR...DE.../PROD0000000000224095.pdf 17. Student notes by ©Jenny Rollo, stock.xchng. ©sxc.hu. Available from: http:// www.sxc.hu/photo/702485 18. Wellcome Library, Wellcome Images, B0004194. http://images.wellcome.ac.uk/ 19. Titration by C Glass, stock.xchng. ©sxc.hu http://www.sxc.hu/browse. phtml?f=view&id=642133 20. Anthea Sieveking , Wellcome Images, AS0000142F05. http://images.wellcome. ac.uk/ THE TRIPLE HELIX Michaelmas 2010 23 CAMBRIDGE Reclaiming Planet Earth: A New Approach to Climate Change David Loew A s much as combating climate change is about curbing emissions and finding alternative sources of energy, it is also a struggle to overcome human nature and rise above our innate reluctance to sacrifice immediate gratification in favour of long-term health. The dispiriting failures of the Kyoto protocol, the recent Copenhagen climate talks and all the targets and aspirations they embody – carbon dioxide levels continue to rise – bear witness to the powerful tensions caused by our conflicting ambitions. Spurred by this depressing trend, however, an alternative approach to climate change, one possibly more in line with our affinity for quick-fix solutions, is gaining new momentum: geoengineering. Geoengineering involves deliberately intervening with geological and atmospheric processes to slow or reverse global warming, an idea that has been around for decades but has received renewed attention following a 2006 essay by the chemistry Nobel Laureate Paul Crutzen that introduced the concept to a larger audience [1-3]. While climate scientists are unanimous in their emphasis on geoengineering as an absolute last resort, the sluggish progress of mitigation efforts may soon leave few other options. Much of the support for anthropogenic geoengineering stems from the observation that short term global cooling is in fact routinely achieved naturally in the aftermath of major volcanic eruptions. When Mount Pinatubo erupted in June of 1991, the blast launched around 10 billion tonnes of ejecta from the western Philippines into the stratosphere, including some 20 million tonnes of sulphur dioxide (SO2) – a highly efficient scatterer of sunlight. Timely and prescient Mount Pinatubo erupting. Reproduced from [14] 24 THE TRIPLE HELIX Michaelmas 2010 evacuation measures led to a modest death toll relative to the size of the eruption, but the effects on the global climate were almost immediate. Within weeks, volcanic material had engulfed the globe in a blanket of SO2 and other sulphuric compounds. The effect was akin to whitewashing the entire planet, and indeed global average temperatures dropped by around 0.5 degrees Celsius in 1992 and 1993, The sluggish progress of mitigation efforts may soon leave few other options before the aerosols ultimately precipitated out via complex interactions between the stratosphere and troposphere – the two lowermost layers of the Earth’s atmosphere. The two winters following the Pinatubo eruption saw snow storms in Jerusalem, coral death in the Red Sea and an unusually durable generation of polar bear cubs known as the “Pinatubo bears” [4-6]. If half a degree does not sound like much, consider that average temperatures during the height of the last ice age 20,000 years ago were only around 7 degrees lower than today, when ice sheets several kilometres thick stretched across all but the most southern latitudes of the UK. Eruptions on this scale are rare, but common enough to have been observed several times in recent history, providing climate scientists and geologists with a rich array of natural geoengineering experiments. Other notable examples include the eruption of Indonesia’s Tambora in 1815, giving rise to 1816’s “year without summer”, and Iceland’s Laki in 1783, producing the coldest winter on record in the United States, prompting Benjamin Franklin to note that the sun’s rays were blocked by “a constant fog”, which he correctly attributed to the eruption [7]. That such localised events could have such far reaching implications for global climate has naturally attracted much debate about the possibility of artificially replicating the eruptions of Pinatubo and volcanoes like it in an effort to counteract global warming. Short of reconstructing an actual volcano, any such proposal would necessarily need to address the need to deliver substantial volumes of sulphuric aerosols into the stratosphere. Rutgers University’s Alan Robock, one of the foremost authorities on the climate effects of volcanic eruptions, has estimated that the equivalent of one Pinatubo eruption every 4-8 years is required to offset the warming effect of greenhouse gas emissions [8]. Several aerosol delivery technologies have been proposed, ranging from the ambitious - firing aerosol bearing missiles into © 2010, The Triple Helix, Inc. All rights reserved. CAMBRIDGE the stratosphere – to the seemingly fantastical – dispersing aerosols from the top of 20km high towers [9]. Perhaps more realistically, using military tanker aircraft to ferry aerosols to high altitudes would allow sufficient quantities of particles to be lofted at an estimated cost of around 200 million dollars a year – roughly ten percent of the annual budget of the United Nations [10]. To be sure, there exists a whole host of geoengineering proposals beyond stratospheric sulphur, examples of which include launching trillions of mirrors into orbit, whitewashing the roofs of buildings and storing released carbon in underground reservoirs. Compared to aerosol lofting, however, these are either technologically too far removed, operate on too small a scale, or would take decades to take effect. While geoengineering has the potential to reverse global warming in a matter of years, critics point to a raft of associated risks and costs, many of which are still poorly understood. In a 2008 article entitled “20 reasons why geoengineering may be a bad idea” [11]. Robock examines in detail the potential adverse consequences of large-scale stratospheric sulphur injections. The “fog” observed by Franklin in 1783 would reside permanently in the atmosphere, eliminating blue skies and making terrestrial astronomy all but impossible. Old climate problems such as ozone depletion and acid rain would be reinvigorated and exacerbated, as would non-climatic effects of greenhouse gas emissions like ocean acidification. Monsoon cycles in parts of Asia and Africa would be severely disrupted, leading to drought and aridification in affected regions. Several scientists have also raised concerns over whether humanity possesses the moral authority to deal with the repercussions of past excesses in such a seemingly blithe manner. Meinrat Andreae of the Max Planck Institute in Mainz likens geoengineering to “a junkie figuring out new ways to steal from his children” [12]. Perhaps most important of all are the huge uncertainties involved. For all our knowledge of volcanic eruptions, delivering a continuous stream of sulphuric particles to the stratosphere is not entirely the same as hurling them up in one explosive burst. The climate is a highly complex system, and the consequences of geoengineering are likely influenced by factors we cannot even begin to account for. “Scientists may never have enough confidence that their theories will predict how well geoengineering systems can work”, warns Robock. “With so much at stake, there is reason to worry about what we don’t know”[13]. Beyond science and morality there looms the question of how quickly a politically divided world is capable of organising and implementing a global geoengineering effort. The international cooperation required and time taken to References: 1. Prins G et al. The Hartwell Paper: A new direction for climate policy after the crash of 2009 [Online]. 2010 May [cited 2010 Sep 8]; Available from: URL: http://www.lse. ac.uk/collections/mackinderProgramme/theHartwellPaper/ 2. Budyko MI. Climatic Changes. Washington DC: Am. Geophys. Union; 1977. 3. Crutzen P. Albedo enhancement by stratospheric sulphur injections: A contribution to resolve a policy dilemma? Climate Change. 2006; 77: 211-219. 4. Der Spiegel [Online]. 2002 Feb 15 [cited 2010 Sep 8]; Available from: URL: http:// www.spiegel.de/wissenschaft/natur/0,1518,182408,00.html 5. Genin A, Lazar B and Brenner S. Vertical mixing and coral death in the Red Sea following Mount Pinatubo. Nature. 1995; 377: 507-510. 6. CBC News [Online]. 2004 July 6 [cited 2010 Sep 8]. Available from: URL: http:// www.cbc.ca/news/background/polarbears/ 7. Franklin B. Meteorological imaginations and conjectures. Mem. Lit. Philos. Soc. Manchester. 1784; 373-377. 8. Robock A, Oman L and Stenchikov G. Regional climate responses to geoengineering with tropical and Arctic SO2 injections. J. Geophys. Res. 2008; 113: 15 pages. Available © 2010, The Triple Helix, Inc. All rights reserved. A clear sky, and aerosol layers after the eruption. Reproduced from [15] divide up the workload and the glory might well prove prohibitive, not least because the world’s two future superpowers – China and India – stand to suffer the regional climatic effects mentioned above. On the other hand, any one nation unilaterally initiating a geoengineering programme seems a sure-fire recipe for strife and discord. The potential for conflict is enormous, and only serves to reemphasise the urgency and primacy of curbing emissions as the first port of call. David Loew is a second year student studying Physical Natural Sciences at St. Edmund’s College. from: http://climate.envsci.rutgers.edu/robock/robock_geopapers.html 9. For a sample see Katz JI. Stratospheric albedo modification by aerosol injection. Physics and Society. 2009; 24 pages. Available from: http://arxiv.org/abs/0906.5307 10. Robock A, Marquardt A, Kravitz B and Stenchikov G. Benefits, risks and costs of stratospheric geoengineering. Geophys. Res. Lett. 2009; 36: 9 pages. Available from: http://www.agu.org/journals/ABS/2009/2009GL039209.shtml 11. Robock A. 20 reasons why geoengineering may be a bad idea. Bull. At. Sci. 2008; 64: 14-18. 12. Morton O. Climate change: Is this what it takes to save the world? Nature. 2007; 447: 132-136. 13. Robock A. 20 reasons why geoengineering may be a bad idea. Bull. At. Sci. 2008; 64: 14-18. 14. PD, NASA. Available from: http://earth.jsc.nasa.gov/scripts/sseop/photo.pl? mission=ISS005&roll=E&frame=19024 15. PD, NASA. Available from: http://earthobservatory.nasa.gov/Features/ AstronautPinatubo/astronaut_pinatubo2.php THE TRIPLE HELIX Michaelmas 2010 25 CAMBRIDGE Zero: The Riddle of Riddles Ritika Sood T he concept and implications of the number zero have dominated the world of mathematics for centuries, causing many of the world’s greatest mathematicians to suffer from insomnia. The world experienced a paradigm shift when this concept of nothingness was ‘discovered’ and given a definition. The number zero is inherently linked to our everyday lives. In economics, zero represents a depleted The fear of [zero] led many a corporation to readdress their policies bank account. In the recent economic crisis, the fear and, in some cases, occurrence of a depleted bank account led many a corporation to readdress its policies. A number near zero is also the rate that the Federal Reserve claimed to start charging, or rather, not charging, commercial banks for short-term loans in December 2008, in an attempt to defibrillate the economy [1]. The mystery of zero is also present in the scientific world, where absolute zero defines the theoretical temperature characterised by the complete absence of heat. Zero is also the proposed atomic number of the theoretical element tetraneutron, a hypothesized stable cluster of four neutrons whose existence is not supported by laws of nuclear forces [2]. In the past, zero was analyzed as a nothing that is an actual something--as the riddle of riddles. To be able to fully appreciate the significance of the number zero, “that O without a figure”, as Shakespeare called it, requires an understanding of its discovery, the progression of its presence and the resistance it encountered throughout history [3]. The Ancient Greeks were philosophically unsure about the concept of nothingness. Near the end of the eighth century BC, the notion of zero was worked into the story of Odysseus and Polyphemos, the Cyclops [4]. However, there is no trace of zero as a number in the history of Homeric or Classical Greece. It is fascinating that the Greeks, to whom many scientific, mathematical and artistic discoveries can be attributed, were unable to conceptualize zero. The reason for this is that the majority of Greek mathematical achievements were based on geometry. Greek mathematicians did not need to name their numbers, as they worked with numbers as lengths of lines. Furthermore, the lack of positional notation in Greek mathematics meant that the number zero and its mathematical properties remained undiscovered [5]. Despite its potential to extend the empire of numbers, zero was not treated as a number itself until 5th century AD in India. Prior to this, it was no more a number than a comma is a letter. This raises the question, what did it take for this immigrant to gain citizenship in the Republic of Numbers? Unlike ideas, trends and fashions, which have 26 THE TRIPLE HELIX Michaelmas 2010 undergone radical changes throughout the ages, the Republic of Numbers is far more conservative, reluctant to accept new members and adamant in never letting them go once sworn in. Take irrational numbers as an example; 2500 years after the proof of their existence allegedly by Hippasus, we cannot do without them, although the sense in which they exist as numbers is still debated. Going back in history, the use of zero can be found in Babylonian and Mayan mathematics but the discovery of the use of zero as a number is attributed to Indian mathematicians. For over 1000 years, the Babylonians had a place-value number system that did not include zero as an empty place indicator. This is somewhat surprising, as one would consider this to be an important feature. Babylonian mathematicians would not distinguish between 5107 and 517; rather, the context would show which number was intended. It was not until around 400 BC that the Babylonians began using two wedge symbols where we would now put zero to indicate which was meant [5]. The Mayans developed a place-value number system with a zero, which they denoted by a shell symbol. What is interesting is that the use of zero in Mayan mathematics can be traced back prior to the introduction of their placevalue number system which is a remarkable achievement. However, their concepts did not find their way into other societies. The birth of the concept of zero as a number and not merely a symbol for separation can be attributed to Indian mathematicians. The very word ‘zero’ finds its etymological root in the Sanskrit word śūnya, meaning ‘void’ or ‘empty’ [7]. The first recorded use of zero as a number dates back to 876 AD in India. A stone tablet carrying an inscription regarding Gwalior, a town 400 km south of the capital has been accepted by historians as the first record of the number. If one were able to divide by zero, then all numbers would be the same The inscription presents the dimensions of this garden, 187 by 270 hastas (a traditional Indian unit of length, measured from the elbow to the tip of the middle finger, approximately 18 inches) which was being grown to produce enough flowers to provide 50 garlands per day for the local temple. This information was detailed on the tablet, and both of the numbers 270 and 50, were inscribed very similarly to how they appear on this page, the only difference being that the 0 was slightly smaller and slightly raised [5]. For zero to be held in the same regard as other numbers, knowledge of how to add, subtract, multiply and divide with it was required, though these operations are now taken for © 2010, The Triple Helix, Inc. All rights reserved. CAMBRIDGE Newton by William Blake. Reproduced from [9] granted in simple arithmetic calculations. The Indian mathematicians Mahavira, Bhaskara and Brahmagupta set out to undertake this very task. They agreed that a number multiplied by zero is zero and that a number remains unchanged when it is diminished or augmented by zero. However, the issue which caused disagreements among the men was the division of a number by zero [5]. Experience and common sense tell us that two different numbers do not hold the same value, that 5 is not the same as 15, for example. If one were able to divide by zero, then all numbers would be the same. Let us apply the method of proof by contradiction. Any number multiplied by zero is zero – for example, 5 × 0 = 0 and 15 × 0 = 0. Hence, 5 × 0 = 15 × 0. If division by zero were possible, this would yield 5 × 0/0 = 15 × 0/0 and the zeroes would cancel leaving us with the result 5 equals 15! Hence in elementary arithmetic, dividing by zero gives an undefined value. The rules governing the use of zero as a number in its own right (with the exception of division by zero) appeared for the first time in Brahmagupta’s book The Opening of the Universe, written in c.628 [8]. The brilliant work of the Indian mathematicians was transmitted west to Islamic and Arabic mathematicians, as well as east to China. The Italian mathematician Fibonacci was one of the main people to bring the Indian numerals to Europe [5]. In his book Liber Abaci published in 1202, he described the nine Indian symbols along with the sign 0. What is significant is that Fibonacci did not treat 0 in the same way as the numbers 1, 2, 3, 4, 5, 6, 7, 8, 9. In his work, he speaks of the ‘sign’ zero, while he refers to the other symbols as numbers. Despite the incredible achievements References: 1. Isidore C. Fed: Economy better, rates to stay low. CNNMoney.com [Online]. 2010 Apr 28 [cited 2010 Aug 13]. Available from: http://money.cnn.com/2010/04/28/news/economy/fed_decision/index.htm 2. Samuel E. Ghost in the atom. New Scientist. 2002 Oct 26;2366:30-3. 3. Shakespeare W. King Lear, Act 1, Scene 4. 4. Homer. The Odyssey Book IX: The Tale of Odysseus: Lotus-Eaters, Cyclops. Lines 360-409. Translated by Murray AT 5. O’Connor JJ, Robertson EF. A history of zero [Online]. University of St. Andrews; 2000 Nov [cited 2010 Aug 11] Available from: http://www-history.mcs.st-and.ac.uk/ © 2010, The Triple Helix, Inc. All rights reserved. of Indian mathematicians and subsequent work by Arabic and Islamic mathematicians, Fibonacci was unable to reach the same level of sophistication in his treatment of zero. While his book had a profound effect on European thought, zero was not widely used in Europe for a long time. An example of the resistance encountered in the acceptance of zero by European mathematics is that in the 1500s, Italian Mathematician Cardan solved cubic and quartic equations without using zero. His work would have proven to be far easier had he done so. In fact, it was only in the 1600s that zero came into widespread use. In spite of being a well established concept, zero is still a source of difficulty. On 1 January 2000, when people around the world celebrated the new millennium, they were in fact only celebrating the completion of 1999 years, as when the calendar was established, no year zero was accounted for. This is why the third millennium and the 21st century began on 1 January 2001, something that many have had a difficulty understanding. After exploring the complex history of the number zero, the fact that it is still causing confusion is hardly surprising. Let us return to the present and the Federal Reserve’s strategy of charging a near zero rate for short term loans, which triggers the question: can ‘nothing’ save us? After the recent economic turmoil, zero seems to be the option to settle for in financial terms. When you consider the alternative… it sure beats going negative. Ritika Sood is a second year student studying Chemical Engineering at King’s College. HistTopics/Zero.html#s31 6. O’Connor JJ, Robertson EF. Mayan mathematics [Online]. University of St. Andrews; 2000 Nov [cited 2010 Aug 13]. Available from: http://www-history.mcs.st-and.ac.uk/ HistTopics/Mayan_mathematics.html 7. Ciment J. Zero [Online]. 2007 [cited 2010 Aug 13]. Available from: www. encyclopediawebsite.com/disc/entries/zero.doc 8. O’Connor JJ, Robertson EF. Brahmagupta [Online]. University of St. Andrews; 2000 Nov [cited 2010 Aug 13]. Available from: http://www-history.mcs.st-and.ac.uk/ Biographies/Brahmagupta.html 9. PD, Wikipedia. http://en.wikipedia.org/wiki/File:Newton-WilliamBlake.jpg THE TRIPLE HELIX Michaelmas 2010 27